Individual
AUDREY J AFFLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 S LATAH ST, BOISE, ID 83705-1538
(208) 573-9860
Mailing address
275 S LATAH ST, BOISE, ID 83705-1538
(208) 573-9860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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