Individual
LAITEN ASHLEY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3663 N LAKEHARBOR LN, BOISE, ID 83703-6913
(208) 286-4274
Mailing address
3663 N LAKEHARBOR LN, BOISE, ID 83703-6913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
43902
ID
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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