Individual
MS. SUSAN P REAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14049 OASIS RD, CALDWELL, ID 83607-7525
(208) 571-8116
Mailing address
14049 OASIS RD, CALDWELL, ID 83607-7525
(208) 571-8116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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