Individual
MRS. DIANA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
720 W. WASHINGTON, BOISE, ID 83702
(208) 343-3688
(208) 343-8475
Mailing address
720 W. WASHINGTON, BOISE, ID 83702
(208) 343-3688
(208) 343-8475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW29189
ID
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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