Individual
ALEESIA FUNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1317 W JEFFERSON ST, BOISE, ID 83702-5320
(208) 615-3538
Mailing address
1416 WASHINGTON ST, MERIDIAN, ID 83642-1948
(208) 949-3995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39609
ID
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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