Individual
MARCY LYNN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3350 W AMERICANA TER, BOISE, ID 83706-2521
(661) 674-7104
Mailing address
698 N MINERAL WELLS AVE, MERIDIAN, ID 83642-7610
(661) 674-7104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8861122
ID
310400000X
Assisted Living Facility
CFH-10581
ID
Other
Enumeration date
01/07/2015
Last updated
05/20/2025
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