Individual
ALI ASTRID MOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
412 E 41ST ST STE 1011, BOISE, ID 83714-6348
(208) 244-6450
Mailing address
1908 N 20TH ST, BOISE, ID 83702-0717
(208) 244-6450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
39985
ID
Other
Enumeration date
09/08/2020
Last updated
12/01/2023
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