Individual
GISELLE LUNA MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 N COLE RD STE #270, BOISE, ID 83704
(208) 576-6464
(208) 392-1378
Mailing address
2995 N COLE RD STE #270, BOISE, ID 83704
(208) 576-6464
(208) 392-1378
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
45193
ID
Other
Enumeration date
05/28/2024
Last updated
07/24/2025
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