Individual
LARISSA BROWNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 932-7048
Mailing address
2140 N BRYAN LN, IDAHO FALLS, ID 83401-1955
(239) 777-7834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39467
ID
1041C0700X
Clinical Social Worker
Primary
8861316
ID
Other
Enumeration date
04/06/2020
Last updated
04/24/2026
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