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Individual

TAWNA GULBIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
228 S HOLLY ST, NAMPA, ID 83686-5104
(208) 606-0469
Mailing address
6243 N BUCKLEY PL, BOISE, ID 83713-1202
(208) 577-7770

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
38775
ID
104100000X
Social Worker
Primary
39775
ID

Other

Enumeration date
03/31/2021
Last updated
11/03/2021
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