THERESA LEA NIEDERKRUGER

BOISE, ID
NPI1316020779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-857)
Enumeration Date2006-10-21
Last Update Date2012-04-24
Business Address
THERESA LEA NIEDERKRUGER LCSW
3919 HOOVER ST
BOISE, ID 83705-1433
Phone number: 208-371-2040
Mailing Address
THERESA LEA NIEDERKRUGER LCSW
3919 HOOVER ST
BOISE, ID 83705-1433
Phone number: 208-371-2040
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