Individual
KYLIE LANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
161 E MALLARD DR STE 100, BOISE, ID 83706-5015
(208) 605-3657
Mailing address
211 E. COEUR D'ALENE AVE STE 102, COEUR D'ALENE, ID 83814
(208) 717-1239
(208) 620-2306
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
38317
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38317
STATE OF IDAHO LMSW
ID
Enumeration date
08/04/2020
Last updated
08/04/2020
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