Individual
BRIAN LEE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
300 S 23RD ST, BOISE, ID 83702-9100
(208) 345-1170
(208) 345-3502
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37414
ID
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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