Individual
MS. ALICIA MARIE PATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9196 W EMERALD ST STE 130, BOISE, ID 83704-8003
(208) 323-4400
Mailing address
6657 W DEANGELIS ST, BOISE, ID 83714-5517
(706) 421-3999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-41138
ID
Other
Enumeration date
04/29/2021
Last updated
12/16/2022
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