Individual
JULIANNE MARIA ANDRYSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
(208) 381-5971
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 268-8904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-36788
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-39513
ID
Other
Enumeration date
06/18/2017
Last updated
11/04/2024
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