Individual
LETA M NEUSTAEDTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
511 W MAIN ST, BOISE, ID 83702-5933
(208) 697-4703
Mailing address
715 E SHERMAN AVE, NAMPA, ID 83686-5247
(208) 697-4703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28520
ID
Other
Enumeration date
01/23/2007
Last updated
02/13/2025
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