Individual
REBECCA NICOLE BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
Mailing address
48 S NEWBERRY WAY, NAMPA, ID 83651-7708
(208) 697-8126
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-40453
ID
Other
Enumeration date
03/29/2021
Last updated
06/27/2022
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