Individual
REBECCA WASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4477 W EMERALD ST STE C100, BOISE, ID 83706-2058
(208) 321-0160
Mailing address
9862 W ROSECROFT CT UNIT 103, BOISE, ID 83704-5085
(208) 570-0347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
43709
ID
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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