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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LYLENA MARIE SELF, LCSW

Active

Case Manager · BOISE, ID

Registration Details

NPI Number
1295093789
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2012 (13.973094047961 yrs)
Last Updated
May 2, 2012
License
LCSW30738 (ID)

Practice Information

Address
1720 N WESTGATE DR STE 1A
BOISE, ID, 837047164
Browse ID providers · Browse ZIP 83704
Phone
2083346938
Fax
2083340812
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in BOISE, ID

Name Credential NPI
PAUL EVERETT STRINGER TCM 1275755449
NANCY JANE WISE 1407046170
MRS. KIMBERLY ANN CARRUTHERS 1285997908
MR. RYAN JENKS J.D., B.S. 1972943728
MS. TRUDY NEBEKER 1770147944
DIANE MILLER 1386295517
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.