SearchIdaho104100000X

Liesje Bouwman, LMSW

NPI 1922819531 · on the registry since 2025

Practice

Address
89 N Main St
Driggs, ID 83422
Phone
(307) 734-6040
Clinicians at this address
8

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-14

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