SearchIdaho1041C0700X

Patricia Moore, LCSW

NPI 1164431029 · on the registry since 2006

Practice

Address
520 N Haines St
Boise, ID 83712
Phone
(208) 338-0758

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho