Individual
ROBYN PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W. FORT ST., BLDG.114, BOISE, ID 83702-4598
(208) 422-1000
(208) 422-1241
Mailing address
500 W. FORT ST., BLDG.114, BOISE, ID 83702-4598
(208) 422-1000
(208) 422-1241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-24431
ID
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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