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SUZANNE TAYLOR POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2045 ALAN ST APT 3, IDAHO FALLS, ID 83404-5790
(208) 244-4373
(208) 523-5627
Mailing address
2045 ALAN ST APT 3, IDAHO FALLS, ID 83404-5790
(208) 244-4373
(208) 523-5627

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW25221
ID
1041C0700X
Clinical Social Worker
Primary
8851249
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806647900
ID
Enumeration date
01/26/2009
Last updated
01/26/2026
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