Individual
MS. LAURA E ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
315 N ALLUMBAUGH, BOISE, ID 83704-9208
(208) 376-3546
(208) 376-9792
Mailing address
315 N ALLUMBAUGH, BOISE, ID 83704-9208
(208) 376-3546
(208) 376-9792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW24443
ID
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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