MARISSA NICKEL

BOISE, ID
NPI1427312834
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-33227)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW-29805)
Enumeration Date2012-06-29
Last Update Date2016-06-13
Business Address
-- MARISSA NICKEL LCSW
410 S ORCHARD ST STE. 232
BOISE, ID 83705-1260
Phone number: 208-371-5733
Mailing Address
-- MARISSA NICKEL LCSW
3903 W GREENBRIER DR
BOISE, ID 83705-4522
Phone number: 208-371-5733