Individual
ABEL GRIMALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1351
(208) 426-1459
(208) 426-3005
Mailing address
1529 BELMONT STREET, BOISE, ID 83706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-32768
ID
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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