Individual
KATHERINE ANN PAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 870-8406
Mailing address
4875 N MAIDSTONE PL, BOISE, ID 83713-1363
(208) 870-8406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-26165
ID
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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