Individual
WILLOW SERAFINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2995 N COLE RD STE 270, BOISE, ID 83704-5991
(208) 576-6464
Mailing address
3662 W BISMARK DR, MERIDIAN, ID 83646-9007
(208) 985-0300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9171769
ID
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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