Individual
FAVIOLA AGUILERA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
156 MCCLURE AVE, NAMPA, ID 83651-2025
(208) 323-9600
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2371269
ID
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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