Individual
CASSIDY JOY DESHAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2589 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 789-0417
(208) 908-6404
Mailing address
2589 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 789-0417
(208) 908-6404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-42127
ID
Other
Enumeration date
07/27/2020
Last updated
12/04/2023
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