MILDRED AZUCENA GAITAN-GONZALEZ

TWIN FALLS, ID
NPI1841535267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-34217)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW-32352)
Enumeration Date2012-12-11
Last Update Date2021-10-25
Business Address
MILDRED AZUCENA GAITAN-GONZALEZ L.C.S.W.
160 MAIN AVE N
TWIN FALLS, ID 83301-6101
Phone number: 208-733-3024
Mailing Address
MILDRED AZUCENA GAITAN-GONZALEZ L.C.S.W.
160 MAIN AVE N
TWIN FALLS, ID 83301-6101
Phone number: 208-733-3024