Individual
ANDREW GESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 466-2229
Mailing address
415 W JEFFERSON ST APT 5, BOISE, ID 83702-6051
(208) 219-1590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-36760
ID
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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