ELIZABETH KAY GOUGH

BOISE, ID
NPI1649620105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-35822)
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- ELIZABETH KAY GOUGH LMSW
3324 W ELDER ST
BOISE, ID 83705-4713
Phone number: 208-577-1102
Mailing Address
-- ELIZABETH KAY GOUGH LMSW
3324 W ELDER ST
BOISE, ID 83705-4713
Phone number: 208-577-1102
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