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Individual

MAKALE KARINA FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3050 N LAKEHARBOR LN STE 248, BOISE, ID 83703-6281
(208) 991-4696
Mailing address
1568 S RIVERSTONE LN APT 201, BOISE, ID 83706-4070
(435) 287-5242

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
45209
ID
1041C0700X
Clinical Social Worker
Primary
LMSW-45209
ID

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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