Individual
ANGELIQUE DE NOFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
Mailing address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW - 34097
ID
Other
Enumeration date
06/08/2011
Last updated
01/27/2015
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