Individual
SAM WELSH ELSETHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7285 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 853-5095
Mailing address
7285 W FRANKLIN RD, BOISE, ID 83709-0926
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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