Individual
MRS. AIDA DIZDAR-BARAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2273 S. VISTA AVENUE, SUITE 190, BOISE, ID 83705
(208) 343-2737
Mailing address
2273 S. VISTA AVENUE, SUITE 190, BOISE, ID 83705
(208) 343-2737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-32351
ID
1041C0700X
Clinical Social Worker
CW021883
PA
1041C0700X
Clinical Social Worker
Primary
LCSW-35215
ID
1041C0700X
Clinical Social Worker
LCVSW-35215
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW021883
COMMONWEALTH OF PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
01
—
LCSW-35215
DIVISION OF OCCUPATIONAL AND PROFESSIONAL LIC - IDAHO BOARD OF
ID
01
—
LMSW-32351
LICENSE NUMBER (MASTER IN SOCIAL WORK) LMSW
ID
Enumeration date
11/06/2012
Last updated
12/22/2021
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