SHAYLA NICOLE DEVISSER

BOISE, ID
NPI1346814639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-44697)
Enumeration Date2021-05-19
Last Update Date2024-03-11
Business Address
SHAYLA NICOLE DEVISSER LCSW-44697
6126 W. STATE STREET
BOISE, ID 83703
Phone number: 208-477-1202
Mailing Address
SHAYLA NICOLE DEVISSER LCSW-44697
6126 W. STATE STREET
BOISE, ID 83703-0932
Phone number: 208-477-1202
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