Individual
BRENDA DEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5460 W FRANKLIN RD STE I, BOISE, ID 83705-1080
(208) 378-9636
(208) 485-9826
Mailing address
5460 W FRANKLIN RD STE I, BOISE, ID 83705-1080
(208) 378-9636
(208) 485-9826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW34459
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609201151
—
ID
Enumeration date
09/03/2013
Last updated
02/27/2024
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