Individual
KESLIE LYNN ASTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3525 E LOUISE DR STE 500, MERIDIAN, ID 83642-6305
(208) 706-7050
Mailing address
916 E HANDEL ST, MERIDIAN, ID 83646-7648
(970) 305-7947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36105
ID
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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