Individual
NANCY LEA HAUSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10112 W OVERLAND RD, BOISE, ID 83709-1428
(208) 780-3900
(208) 375-2882
Mailing address
10112 W OVERLAND RD, BOISE, ID 83709-1428
(208) 780-3900
(208) 375-2882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36275
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477920270
—
ID
Enumeration date
08/14/2013
Last updated
12/12/2016
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