| Gary W Lee Lcsw Llc | |
|
600 N Curtis Rd Suite 125 Boise ID 83706-1449 | |
| (208) 376-6109 | |
| (208) 672-1787 |
| Full Name | Gary W Lee Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 N Curtis Rd, Boise, Idaho |
| Authorized Official Name and Position | Gary W Lee (OWNER) |
| Authorized Official Contact | 2083766109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary W Lee Lcsw Llc 5310 Ward Rd Suite 106 Arvada CO 80002-1832 Ph: (303) 278-7418 | Gary W Lee Lcsw Llc 600 N Curtis Rd Suite 125 Boise ID 83706-1449 Ph: (208) 376-6109 |
| NPI Number | 1285956441 |
|---|---|
| Provider Enumeration Date | 02/15/2010 |
| Last Update Date | 05/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285956441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-578 (Idaho) | Primary |
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