Most Relevant Information
Provider Data
| NPI Number: | 1003278524 |
| Provider Name: | KRISTIE KAES LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW-34472 |
Most Important Dates
| Enumeration Date: | 03/23/2016 |
| Last Updated: | 10/18/2019 |
Provider Practice Location
1055 N CURTIS RD
BOISE
ID
83706
Practice Location Phone/Fax
| Phone: | 2083672121 |
| Fax: | 2083677305 |
Provider Mailing Location
P.O. BOX 190930
BOISE
ID
83719
Provider Mailing Phone/Fax
| Phone: | 2083672121 |
| Fax: | 2083677305 |