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NPI Code Detail

MEDICARE: RHONDA MURRAY-THOMAS LMSW

MEDICARE: RHONDA MURRAY-THOMAS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLMSW-26745ID

General Provider Information

NPI Number : 1386186260
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA MURRAY-THOMAS LMSW
Provider Business Mailing Address
First Line : 3251 N CLAYTON PL
Second Line :
City : BOISE
State : ID
Zip : 83704-4023
Country : US
Telephone Number : 208-789-6193
Fax Number :
Provider Business Practice Location Address
First Line : 524 S 9TH AVE STE 103
Second Line :
City : CALDWELL
State : ID
Zip : 83605-5072
Country : US
Telephone Number : 208-454-2144
Fax Number : 208-454-2149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2016
Last Update Date : 11/09/2016

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Directions to “ RHONDA MURRAY-THOMAS LMSW” Practice Location

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