Individual
MS. LESA MARIE BREDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5155 S HILLSDALE AVE, MERIDIAN, ID 83642-7587
(208) 706-9710
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-34641
ID
Other
Enumeration date
08/13/2011
Last updated
06/01/2023
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