Individual
DEBORAH JANE GREEN-COLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2273 S VISTA AVE, STE 190, BOISE, ID 83705-7341
(208) 343-2737
Mailing address
1047 PEREGRINE DR, MIDDLETON, ID 83644-5933
(208) 914-1353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-29067
ID
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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