Individual
MRS. SHANNON MARIE KESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4477 W EMERALD ST, SUITE C-100, BOISE, ID 83706-2000
(208) 321-0160
(208) 321-0221
Mailing address
4477 W EMERALD ST, SUITE C-100, BOISE, ID 83706-2000
(208) 321-0160
(208) 321-0221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-32829
ID
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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