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Individual

CELESTE LACOMBE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4696 W OVERLAND RD STE 228, BOISE, ID 83705-2864
(208) 886-0271
Mailing address
9683 W HOMEWOOD DR, BOISE, ID 83709-5334

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LCSW38602
ID

Other

Enumeration date
08/06/2018
Last updated
08/21/2019
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