Individual
ALI SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5685 S SANTA CRUZ WAY, BOISE, ID 83709-5164
(208) 371-7832
Mailing address
5685 S SANTA CRUZ WAY, BOISE, ID 83709-5164
(208) 371-7832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-37156
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-45066
ID
Other
Enumeration date
05/14/2022
Last updated
04/03/2025
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