Individual
BROOKE HANSON BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
3527 S. FEDERAL WAY, STE 103 #1018, BOISE, ID 83705
(208) 918-1359
Mailing address
3527 S. FEDERAL WAY, STE 103 #1018, BOISE, ID 83705
(208) 918-1359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-37738
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-40504
ID
1041C0700X
Clinical Social Worker
LICSW123411
MA
Other
Enumeration date
01/07/2021
Last updated
11/02/2024
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