GINA BOSCO

BURLEY, ID
NPI1104802230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW1034)
Enumeration Date2005-12-20
Last Update Date2007-07-08
Business Address
-- GINA BOSCO LCSW
2300 OVERLAND AVE
BURLEY, ID 83318-2932
Phone number: 208-732-8565
Mailing Address
-- GINA BOSCO LCSW
PO BOX 462
BURLEY, ID 83318-0462
Phone number: 208-670-3900