Gloria Tague, LSW

NPI #1023464310 in Caldwell, Idaho

Provider Information

NPI Number: 1023464310
Entity Type: Individual
Name: Gloria Tague, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 5, 2016
Last Updated: May 11, 2016

Practice Location

Address: 3402 FRANKLIN RD
City: Caldwell
State: Idaho
ZIP Code: 83605-6932
Phone: (208) 459-0092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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