ANGELIQUE DE NOFA

BOISE, ID
NPI1588958482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW - 34097)
Enumeration Date2011-06-08
Last Update Date2015-01-27
Business Address
-- ANGELIQUE DE NOFA LCSW
5985 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-853-0071
Mailing Address
-- ANGELIQUE DE NOFA LCSW
5985 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-853-0071