Individual
MARISA A KAALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 N ALLUMBAUGH ST, BOISE, ID 83704-9209
(208) 377-9669
(208) 377-1028
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 377-9669
(208) 377-1028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-41757
ID
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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