Individual
MRS. NIKOLE DAWN GASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
7933 W ORBIT DR, BOISE, ID 83709-8602
(208) 562-8984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31851
ID
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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