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ANA CRISTINA VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6855 W FAIRVIEW AVE, BOISE, ID 83704-8046
(208) 323-9600
(208) 323-9606
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42265
ID

Other

Enumeration date
06/02/2022
Last updated
06/02/2022
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