Lesa Mcconnel LCSW

NPI 1174641450 - Social Worker - 1041C0700X

NPI Details
NPI 1174641450
Gender Female
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5223 W OVERLAND RD
BOISE ID, 83705-2637, US
Phone (208) 395-1713
Fax
Business Location
5223 W OVERLAND RD
BOISE ID, 83705-2637, US
Phone (208) 395-1713
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW 1100
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According to our database, Ms. Lesa Mcconnel LCSW NPI is 1174641450, taxonomy code is 1041C0700X and license number is LCSW 1100, license state is located at Idaho. Lesa Mcconnel LCSW physically located at 5223 W Overland Rd, Boise ID, 83705-2637. NPI Number Lesa Mcconnel LCSW has the Individual type.

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1174641450 NPI number is provided on an as is basis without warranty of any kind. 1174641450 is maintained by the National Plan & Provider Enumeration System. The contents of Lesa Mcconnel LCSW are for informational purposes only.