Individual
MARY KRAEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2241 OVERLAND AVE, BURLEY, ID 83318-2929
(208) 312-5407
(208) 677-4001
Mailing address
2241 OVERLAND AVE, BURLEY, ID 83318-2929
(208) 312-5407
(208) 677-4001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-1072
ID
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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