Individual
JEFFREY DELFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
750 E WARM SPRINGS AVE, BOISE, ID 83712-6475
(208) 918-4296
Mailing address
712 E JEFFERSON ST, BOISE, ID 83712-6480
(808) 384-2794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-40076
ID
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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