Individual
MRS. MEGAN KOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1009 W SANETTA ST, NAMPA, ID 83651-5047
(208) 576-6464
Mailing address
5116 N MAPLESTONE AVE, MERIDIAN, ID 83646-6776
(951) 533-8245
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
42169
ID
261QM0855X
Adolescent and Children Mental Health Clinic/Center
42169
ID
Other
Enumeration date
05/11/2022
Last updated
06/19/2023
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