Individual
SHAWN REILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9850 ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
1337 N JULLION AVE, BOISE, ID 83704-9791
(316) 880-9858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-32966
ID
104100000X
Social Worker
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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