Individual
MRS. GRISELDA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1605 S KIMBALL AVE, CALDWELL, ID 83605-4548
(208) 672-2900
Mailing address
1605 S KIMBALL AVE, CALDWELL, ID 83605-4548
(208) 672-2900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-32380
ID
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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