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Individual

SUNDAY BETH CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
10020 W FAIRVIEW AVE STE 204, BOISE, ID 83704-8571
(208) 991-4649
(208) 906-8680
Mailing address
10020 W FAIRVIEW AVE STE 204, BOISE, ID 83704-8571
(208) 991-4649
(208) 906-8680

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW37225

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37225
LMSW
ID
Enumeration date
05/22/2018
Last updated
06/16/2018
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