Radford, Angie Jo

Radford, Angie Jo is an sole proprietor health care provider with primary practice located at 1675 Curlew Drive , Ammon ID 83406. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Radford, Angie Jo can be contacted via phone (208) 529-4300.

Contact Information

Primary practice address
1675 Curlew Drive Ammon ID 83406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMSW - 27203 Idaho

Profile Details

NPI number 1831292754
LBN Legal business name Radford, Angie Jo
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 18 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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