IDAHO INSTITUTE OF GENDER AND SEX THERAPY

BOISE, ID
NPI1811451438
Entity TypeOrganization
Authorized ContactJEREMY WAYNE IRVIN
Owner
208-417-8428
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2019-01-28
Last Update Date2021-12-10
Business Address
IDAHO INSTITUTE OF GENDER AND SEX THERAPY
6003 W OVERLAND RD STE 105
BOISE, ID 83709-3075
Phone number: 208-417-8428
Mailing Address
IDAHO INSTITUTE OF GENDER AND SEX THERAPY
3278 E RENWICK ST
MERIDIAN, ID 83642-6467
Phone number: 208-417-8428
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