Individual
MADISON RAIN MOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5001 CHERRY GULCH LN, EMMETT, ID 83617-5123
(208) 365-3437
Mailing address
967 E PARKCENTER BLVD # 1079, BOISE, ID 83706-6721
(801) 633-7314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11939680-3501
UT
1041C0700X
Clinical Social Worker
Primary
43915
ID
Other
Enumeration date
08/23/2018
Last updated
06/27/2024
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