Individual
TRINTIA ANNYS ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(208) 322-1026
Mailing address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(208) 322-1026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-36738
ID
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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