Individual
MRS. RENAE MICHELLE SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2235 E 25TH ST, SUITE 185, IDAHO FALLS, ID 83404-7519
(208) 390-1147
(208) 552-8847
Mailing address
2235 E 25TH ST, SUITE 185, IDAHO FALLS, ID 83404-7519
(208) 390-1147
(208) 552-8847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-32842
ID
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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