ALICIA ASCENCIO

NAMPA, ID
NPI1255744827
Former NameALICIA KEITHLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-36423)
Enumeration Date2014-06-11
Last Update Date2017-03-08
Business Address
-- ALICIA ASCENCIO LCSW
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-465-5433
Mailing Address
-- ALICIA ASCENCIO LCSW
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-630-3780
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