Individual
MS. LINDA JEAN LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
5999 W STATE ST, STE B, BOISE, ID 83703-3039
(208) 853-5095
(208) 853-5125
Mailing address
7154 W STATE ST, #389, BOISE, ID 83714-7421
(208) 853-5095
(208) 853-5125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 415
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806014000
—
ID
Enumeration date
07/12/2006
Last updated
07/08/2007
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