Individual
CASSIE MIKAILA GARDNER-GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8660 W EMERALD ST STE 112, BOISE, ID 83704-4829
(208) 391-5345
Mailing address
3005 N 28TH ST, BOISE, ID 83703-5035
(763) 639-8571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6971772
ID
Other
Enumeration date
12/04/2017
Last updated
09/29/2025
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