Individual
HILLARY GODSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
Mailing address
9423 W ZUNI DR, BOISE, ID 83704-2956
(208) 761-3812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
36224
ID
1041C0700X
Clinical Social Worker
Primary
38754
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528500840
—
ID
Enumeration date
11/17/2016
Last updated
05/27/2021
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