Individual
GERMAINE MARLO AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124996392
—
ID
Enumeration date
10/28/2025
Last updated
10/29/2025
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