Individual
VAUGHN KNAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
818 W BRUMBACK ST, BOISE, ID 83702-2824
(208) 340-0665
Mailing address
818 W BRUMBACK ST, BOISE, ID 83702-2824
(208) 340-0665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25701
ID
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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