Individual
KIMBERLY L BICKLEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
131 ALLUMBAUGH ST, BOISE, ID 83704-9204
(208) 367-3069
(208) 367-3002
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-3069
(208) 367-3002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 29363
ID
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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