Individual
RACHAEL BAZZETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4696 W OVERLAND RD STE 252, BOISE, ID 83705-2877
(208) 607-3602
Mailing address
4696 W OVERLAND RD STE 252, BOISE, ID 83705-2877
(208) 607-3602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW42129
ID
Other
Enumeration date
03/18/2020
Last updated
04/29/2024
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