Individual
MRS. DELISA KAY RAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 S EAGLE RD, MOUNTAIN STATES TUMOR INSTITUTE, MERIDIAN, ID 83642-6351
(208) 706-1404
(208) 706-1442
Mailing address
520 S EAGLE RD, MOUNTAIN STATES TUMOR INSTITUTE, MERIDIAN, ID 83642-6351
(208) 706-1404
(208) 706-1442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31905
ID
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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