Gaitan-Gonzalez, Mildred Azucena

Gaitan-Gonzalez, Mildred Azucena is an sole proprietor health care provider with primary practice located at 160 Main Ave N , Twin Falls ID 83301-6101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gaitan-Gonzalez, Mildred Azucena can be contacted via phone (208) 733-3024.

Contact Information

Primary practice address
160 Main Ave N Twin Falls ID 83301-6101
Phone: (208) 733-3024
Fax: (208) 733-0929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW-32352 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-34217 Idaho

Profile Details

NPI number 1841535267
LBN Legal business name Gaitan-Gonzalez, Mildred Azucena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2012
Last updated Oct 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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