Individual
MISS NICOLE A GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
750 E WARM SPRINGS AVE STE A, BOISE, ID 83712-6457
(208) 918-4296
Mailing address
6508 W USTICK RD, BOISE, ID 83704-6158
(208) 319-4379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35875
ID
Other
Enumeration date
06/13/2016
Last updated
04/08/2024
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