Individual
STACEY A MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8620 W EMERALD ST STE 150, BOISE, ID 83704-4839
(208) 617-3265
Mailing address
8620 W EMERALD ST STE 150, BOISE, ID 83704-4839
(208) 617-3265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-27100
ID
Other
Enumeration date
02/16/2023
Last updated
11/11/2023
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