Individual
MS. SHANNA DEE PICKREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
7161 W POTOMAC DR, STE. A, BOISE, ID 83704-9148
(208) 908-6399
Mailing address
1818 N 9TH ST, BOISE, ID 83702-3619
(208) 353-7160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-30318
ID
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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