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Search › Idaho › 104100000X

Elizabeth Gough, LMSW

NPI 1649620105 · on the registry since 2016

Practice

Address
3324 W Elder St
Boise, ID 83705
Phone
(208) 577-1102
Organisation at this address
Lee Pesky Learning Center
Lee Pesky Learning Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho