Individual
ANAYSHA MAY SHUPPERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3715 E OVERLAND RD STE 100, MERIDIAN, ID 83642-8305
(208) 957-3304
Mailing address
9591 W SILVERSPRING ST, BOISE, ID 83709-5762
(208) 957-3304
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8921790
ID
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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