Fox Stewart, Tambra Eve

Fox Stewart, Tambra Eve is an sole proprietor health care provider with primary practice located at 1111 S Orchard St Suite 172, Boise ID 83705-1966. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fox Stewart, Tambra Eve can be contacted via phone (208) 336-9591.

Contact Information

Primary practice address
1111 S Orchard St Suite 172 Boise ID 83705-1966
Phone: (208) 336-9591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW - 29319 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW - 29319 Idaho

Profile Details

NPI number 1316080179
LBN Legal business name Fox Stewart, Tambra Eve
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316080179 NPPES
Idaho MEDICAID LCSW - 29319

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