Individual
ANNE DAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E IDAHO ST, STE 200, BOISE, ID 83712-6267
(208) 381-7092
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1114
ID
Other
Enumeration date
01/20/2014
Last updated
01/22/2014
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