Individual
ANGELICA VELASCO ACEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 W EMERALD ST STE 178, BOISE, ID 83704-8296
(208) 376-7083
(208) 321-5069
Mailing address
8950 W EMERALD ST STE 178, BOISE, ID 83704-8296
(208) 376-7083
(208) 321-5069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38422
ID
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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