Individual
KELLY MICHELLE ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 420-9780
Mailing address
1790 E RAINTREE DR, BOISE, ID 83712-6621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-41817
ID
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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