Individual
MRS. JULENE BURROWS KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
960 BROADWAY, SUITE 435, BOISE, ID 83706-3690
(208) 338-1227
(208) 338-1228
Mailing address
960 BROADWAY, SUITE 435, BOISE, ID 83706-3690
(208) 338-1227
(208) 338-1228
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW67
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015743
BLUE SHIELD ID
ID
01
—
L0676
BLUE CROSS ID
ID
Enumeration date
10/27/2006
Last updated
07/08/2007
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