Individual
MRS. SUSAN KAYE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026
(208) 528-2945
Mailing address
4621 GEMMETT CREEK RD, IDAHO FALLS, ID 83401-5021
(208) 419-6387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37165
ID
Other
Enumeration date
02/09/2018
Last updated
01/02/2024
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