Individual
KARLEE LEEANN BOESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 MAIN ST STE 3B, SALMON, ID 83467-4452
(208) 756-2927
(208) 756-1518
Mailing address
1380 BENTON ST, IDAHO FALLS, ID 83401-4254
(208) 523-2490
(208) 522-2603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-41191
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-41191
LCSW LICENSE
ID
Enumeration date
02/18/2019
Last updated
03/28/2023
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