NPI 1023464310

Gloria Tague, LSW

Practitioner Social Worker Caldwell, ID

Practice location

Address: 3402 Franklin Rd, Caldwell, ID 83605-6932
Phone: (208) 459-0092
Fax: (208) 454-7714
Mailing address: 19626 Prescott Ln, Nampa, ID 83687-8132

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LSW-2339 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1023464310
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2016
Record last updated: 11 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.