Individual
MS. ANNE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8100 W EMERALD ST STE 150, BOISE, ID 83704-9057
(208) 908-6399
Mailing address
509 S SIERRA DR, BOISE, ID 83705-1555
(208) 272-0593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26495
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-26495
IDAHON BUREAU OF OCCUPATIONAL LICENSES
ID
Enumeration date
07/13/2020
Last updated
07/13/2020
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