Individual
YVETTE ANGUIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9850 W ST LUKES DR STE 290, NAMPA, ID 83687-7912
(208) 463-7300
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW31711
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-37557
ID
Other
Enumeration date
05/05/2016
Last updated
09/15/2022
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