Individual
CYNTHIA SUSANNE BAHORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(280) 422-1000
Mailing address
1407 W DEADWOOD CT, EAGLE, ID 83616-4858
(208) 938-5896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-828
ID
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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