Individual
KIRSTEN ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, BS, CPSS
Contact information
Practice address
6305 W OVERLAND RD, BOISE, ID 83709-3029
(208) 605-3663
Mailing address
6003 W OVERLAND RD STE 105, BOISE, ID 83709-3075
(208) 417-8428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8171869
ID
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/26/2024
Last updated
07/05/2025
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