Family Practice Medical
Family Practice Medical is a Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
777 N Raymond StBoise, ID 83704-9251
Phone: (208) 367-6030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence LCSW-24633 (ID) |
|---|
Record details
| NPI number | 1649392200 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tom Ahlrichs — Social Worker · (208) 367-6030 |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6318 Bermuda Dr, Boise, ID 83709-1009 |
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