Individual
GABRIELA LINETTE SERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4599
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW38730
ID
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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