Individual
MR. JOSE MANUEL VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
804 3RD ST S, NAMPA, ID 83651-3815
(208) 602-2039
(208) 442-0841
Mailing address
804 3RD ST S, NAMPA, ID 83651-3815
(208) 602-2039
(208) 442-0841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 949
ID
Other
Enumeration date
09/12/2005
Last updated
06/15/2010
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