Individual
MARCUS BOYD GOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 524-7400
(208) 524-8004
Mailing address
1023 E BUTTE RD, MENAN, ID 83434-5122
(208) 754-0911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW32292
ID
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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