Individual
MS. JULIE HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
760 E WARM SPRINGS AVE STE D, BOISE, ID 83712-6459
(208) 793-5631
(208) 225-4995
Mailing address
760 E WARM SPRINGS AVE STE D, BOISE, ID 83712-6459
(208) 793-5631
(208) 225-4995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31071
ID
Other
Enumeration date
11/13/2008
Last updated
08/13/2022
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