Individual
CAROLYN CHRISTINE FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 CHERRY ST, CALDWELL, ID 83605-5837
(208) 794-9678
Mailing address
1406 CHERRY ST, CALDWELL, ID 83605-5837
(208) 794-9678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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