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Individual

ALICIA D NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
Mailing address
6890 W IRVING LN, BOISE, ID 83704-8666
(919) 949-8151

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
39720
ID
1041C0700X
Clinical Social Worker
Primary
8861349
ID

Other

Enumeration date
01/16/2024
Last updated
04/16/2026
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