Individual
NOELL QUONG-PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 12TH AVE RD, NAMPA, ID 83686-5011
(208) 465-5433
Mailing address
3709 W ROSE HILL ST, BOISE, ID 83705-1517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-40049
ID
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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