Individual
LETICIA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13384 W BLUEBONNET DR, BOISE, ID 83713-1311
(208) 938-1335
(208) 938-1335
Mailing address
13384 W BLUEBONNET DR, BOISE, ID 83713-1311
(208) 938-1335
(208) 938-1335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-710
ID
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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