Elizabeth Kay Gough, LMSW
Social Worker in Boise, ID. Individual provider (NPI-1).
NPI number1649620105
StatusActive
Last updated in NPPESJun 15, 2016
Details
- NPI
- 1649620105
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Kay Gough
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2016
- Last updated
- Jun 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LMSW-35822 | ID | Yes |
Practice location
3324 W Elder StBoise, ID 83705-4713
Phone 208-577-1102
Mailing address
3324 W Elder StBoise, ID 83705-4713
Phone 208-577-1102
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