Individual
LOIS ANNE MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT STREET, BOISE, ID 83702
(208) 422-1000
Mailing address
1000 EL PELAR DRIVE, BOISE, ID 83702
(208) 387-0121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25634
ID
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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