DESTENI NEILSON

BOISE, ID
NPI1811528540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LMSW-39056)
Enumeration Date2020-01-31
Last Update Date2020-01-31
Business Address
DESTENI NEILSON LMSW
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-338-4699
Mailing Address
DESTENI NEILSON LMSW
3408 N 33RD ST
BOISE, ID 83703-4954
Phone number: 208-794-2242
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