Individual
ANA MARIA MACHUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
524 CLEVELAND BLVD STE 180, CALDWELL, ID 83605-4043
(208) 323-9600
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC60653433
WA
1041C0700X
Clinical Social Worker
Primary
LCSW-41372
ID
Other
Enumeration date
10/02/2018
Last updated
09/04/2024
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