NICOLE ANNE BODENSTAB LEE

NAMPA, ID
NPI1487277455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-32259)
Enumeration Date2020-05-25
Last Update Date2020-05-25
Business Address
NICOLE ANNE BODENSTAB LEE LMSW
158 MCCLURE AVE
NAMPA, ID 83651-2025
Phone number: 208-502-0183
Mailing Address
NICOLE ANNE BODENSTAB LEE LMSW
158 MCCLURE AVE
NAMPA, ID 83651-2025
Phone number: 208-502-0183