Individual
MARISOL RAMIREZ ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2275 W BROADWAY ST, IDAHO FALLS, ID 83402-2902
(208) 524-7400
(208) 524-8004
Mailing address
2088 TROLLEY CIR, IDAHO FALLS, ID 83402-2400
(208) 403-7337
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39036
ID
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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