HEATHER KATHLEEN MOON

BOISE, ID
NPI1821261199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-31747)
Enumeration Date2008-04-08
Last Update Date2017-02-16
Business Address
Ms. HEATHER KATHLEEN MOON LCSW
2300 N 26TH ST
BOISE, ID 83702-0231
Phone number: 208-371-6841
Mailing Address
Ms. HEATHER KATHLEEN MOON LCSW
2300 N 26TH ST
BOISE, ID 83702-0231
Phone number: 208-371-6841
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