Individual
HAILEY LASMANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4696 W OVERLAND RD STE 182, BOISE, ID 83705-2878
(208) 421-6612
Mailing address
4696 W OVERLAND RD STE 182, BOISE, ID 83705-2878
(208) 421-6612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44246
ID
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/09/2023
Last updated
10/11/2023
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