Individual
NICHOLAS TOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
(208) 381-5971
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801117495
MI
1041C0700X
Clinical Social Worker
CSW.09928268
CO
1041C0700X
Clinical Social Worker
Primary
LCSW-40831
ID
Other
Enumeration date
04/27/2017
Last updated
12/30/2024
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