| Lds Family Services Id Boise | |
|
10740 W Fairview Ave Suite 100 Boise ID 83713-7926 | |
| (208) 376-0191 | |
| (208) 658-6299 |
| Full Name | Lds Family Services Id Boise |
|---|---|
| Speciality | Counselor |
| Location | 10740 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | Lori D. Throckmorton (DIRECTOR) |
| Authorized Official Contact | 2083760191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Id Boise 10740 W Fairview Ave Suite 100 Boise ID 83713-7926 Ph: (208) 376-0191 | Lds Family Services Id Boise 10740 W Fairview Ave Suite 100 Boise ID 83713-7926 Ph: (208) 376-0191 |
| NPI Number | 1891900064 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891900064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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