Individual
MS. KERSONDRA CORRINE HOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8950 W EMERALD ST, BOISE, ID 83704-4854
(208) 376-7083
Mailing address
8950 W EMERALD ST, BOISE, ID 83704-4854
(208) 376-7083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-36585
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-39169
ID
Other
Enumeration date
11/10/2017
Last updated
11/20/2019
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