BRIANNE M FAGENSTROM

BOISE, ID
NPI1962968636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-38329)
Enumeration Date2019-02-18
Last Update Date2019-02-18
Business Address
BRIANNE M FAGENSTROM LMSW
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-779-6564
Mailing Address
BRIANNE M FAGENSTROM LMSW
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-779-6564
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