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Individual

AISHA ABIMBOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8590 W FAIRVIEW AVE STE A, BOISE, ID 83704-8320
(208) 672-0260
(208) 321-7750
Mailing address
2740 W CHERRY LN, BOISE, ID 83705-4173
(208) 971-8704

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44052
ID
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
05/26/2022
Last updated
09/18/2023
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