Individual
DEANNA ARMENIA BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7217 W SUNNYBROOK DR, BOISE, ID 83709-1852
(208) 283-2054
Mailing address
7450 W ALTHEA CT, BOISE, ID 83709-1777
(208) 422-1338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW39607
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
VA HOSPITAL
ID
Enumeration date
07/15/2020
Last updated
07/28/2023
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