Individual
MS. GAIL M BACCHESCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1408 WEST HAYS STREET, BOISE, ID 83702
(208) 343-1403
(208) 336-7125
Mailing address
1408 WEST HAYS STREET, BOISE, ID 83702
(208) 343-1403
(208) 336-7125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1257103501
UT
104100000X
Social Worker
Primary
LCSW522
ID
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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