Individual
SARAH MARIA FAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11513 W FAIRVIEW AVE STE 105, BOISE, ID 83713-7887
(208) 908-7882
(208) 908-7883
Mailing address
418 DRIFTWOOD RD, BOISE, ID 83713-7902
(208) 369-8949
(208) 908-7883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
41140
ID
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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