Individual
KATHRYN ANNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 N ROBBINS RD., BOISE, ID 83701
(208) 489-4558
(208) 489-4053
Mailing address
600 N ROBBINS ROAD, BOISE, ID 83701
(208) 489-4444
(208) 489-4055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCSW1164
ID
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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