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Individual

ALICE GIARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1550 N CRESTMONT DR, STE A, MERIDIAN, ID 83642-2184
(208) 288-4200
(208) 288-4279
Mailing address
6191 N BANDON PL, GARDEN CITY, ID 83714-4057
(208) 629-5468

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33616
ID

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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