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Individual

MICHAEL L LAROCCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6305 W OVERLAND RD, BOISE, ID 83709-3029
(208) 477-1705
Mailing address
6305 W OVERLAND RD, BOISE, ID 83709-3029
(208) 477-1705

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW-29802
ID
1041C0700X
Clinical Social Worker
Primary
32555
ID

Other

Enumeration date
01/27/2010
Last updated
06/07/2023
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