Individual
MRS. ANNIE GOITEIN PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Mailing address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 412-4192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33724
ID
Other
Enumeration date
10/26/2011
Last updated
04/09/2014
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