Individual
LINDA K ROGERS-PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9628 W STATE ST, STAR, ID 83669-5858
(208) 398-3067
Mailing address
140 TRAILBLAZER ST, MIDDLETON, ID 83644-4903
(208) 398-3067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW27602
ID
Other
Enumeration date
12/14/2006
Last updated
02/24/2021
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