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Individual

KAYLA RAE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
Mailing address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-43646
ID

Other

Enumeration date
06/08/2023
Last updated
06/08/2023
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