Individual
SUZANNE ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1603 12TH AVE RD STE B, NAMPA, ID 83686-6100
(208) 442-0096
Mailing address
15344 ROCCA AVE, CALDWELL, ID 83607-6703
(360) 448-5511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-34846
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-39386
ID
Other
Enumeration date
02/11/2020
Last updated
02/28/2020
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