Individual
CORAREINE FLORA KAESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10448 W GARVERDALE CT STE 606, BOISE, ID 83704-5474
(208) 286-1529
Mailing address
10448 W GARVERDALE CT STE 606, BOISE, ID 83704-5474
(208) 286-1529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40868
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40868
LMSW IDAHO
ID
Enumeration date
06/16/2021
Last updated
06/16/2021
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