Organization
DARING IN IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HAKES LCWS (OWNER)
(208) 515-7552
Entity
Organization
Contact information
Practice address
413 N ALLUMBAUGH STREET, SUITE 102, BOISE, ID 83704
(208) 515-7552
(208) 343-4458
Mailing address
413 N ALLUMBAUGH STREET, SUITE 102, BOISE, ID 83704
(208) 515-7552
(208) 343-4458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
02/14/2020
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