Individual
ALICIA ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3080 E GENTRY WAY, 202, MERIDIAN, ID 83642-3544
(208) 706-7286
Mailing address
3080 GENTRY WAY STE 202, MERIDIAN, ID 83642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31898
ID
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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