BANY HEGLER LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1861152548- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836472821
- Phone
- (208) 580-5431
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ID #LCSW-8861810