Individual
JOSIE BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWA-IC
Contact information
Practice address
2273 S VISTA AVE STE 190, BOISE, ID 83705-7341
(208) 343-2737
Mailing address
11802 W JENILYN CT, BOISE, ID 83713-1794
(801) 633-5918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60331369
WA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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