Individual
MORGAN RAYE HORINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E 17TH ST, IDAHO FALLS, ID 83404-6273
(208) 538-3122
Mailing address
1301 E 17TH ST, IDAHO FALLS, ID 83404-6273
(208) 552-7007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
42756
ID
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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