Individual
KYLE ALEGRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9196 W EMERALD ST STE 130, BOISE, ID 83704-8003
(208) 323-4400
Mailing address
9196 W EMERALD ST STE 130, BOISE, ID 83704-8003
(208) 323-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-41574
ID
Other
Enumeration date
11/01/2018
Last updated
06/07/2023
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