Individual
DASIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8660 W EMERALD ST STE 172, BOISE, ID 83704-4828
(208) 939-3865
Mailing address
517 PRINCE AVE, WILDER, ID 83676-6010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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