Individual
ALICIA ASCENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 12TH AVE RD, NAMPA, ID 83686-5011
(208) 465-5433
Mailing address
112 12TH AVE RD, NAMPA, ID 83686-5011
(208) 630-3780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36423
ID
Other
Enumeration date
06/11/2014
Last updated
03/08/2017
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