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Individual

MS. DEENA CHRISTINE LUMIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW, LCSW

Contact information

Practice address
2313 W BELLA ST, BOISE, ID 83702-0423
(208) 629-7733
(208) 343-8475
Mailing address
2313 W BELLA ST, BOISE, ID 83702-0423
(208) 629-7733
(208) 343-8475

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36289
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8082880
ID
Enumeration date
08/05/2013
Last updated
01/11/2017
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