Individual
MS. KYLEY JO TRAUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13447 W WALDEMAR ST, BOISE, ID 83713-0843
(208) 794-9318
Mailing address
13447 W WALDEMAR ST, BOISE, ID 83713-0843
(208) 794-9318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-40234
ID
Other
Enumeration date
03/17/2016
Last updated
01/25/2024
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