Individual
KAYLA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
730 W. WASHINGTON, BOISE, ID 83702-5280
(208) 343-3688
Mailing address
730 W. WASHINGTON, BOISE, ID 83702-5280
(208) 343-3688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33133
ID
Other
Enumeration date
09/10/2013
Last updated
10/28/2014
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