Individual
MS. JULIA PENELOPE GERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1674 W HILL RD STE 12, BOISE, ID 83702-0958
(208) 297-8585
(208) 965-8512
Mailing address
7699 ABE AVE, BOISE, ID 83714-5515
(208) 949-1249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-25675
ID
1041C0700X
Clinical Social Worker
Primary
LCSW25675
ID
Other
Enumeration date
03/22/2007
Last updated
07/01/2024
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