STACEY PAYNE LEWIS

BOISE, ID
NPI1285041459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-30858)
Enumeration Date2014-07-18
Last Update Date2014-07-18
Business Address
Ms. STACEY PAYNE LEWIS LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Ms. STACEY PAYNE LEWIS LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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