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Individual

LAUREN WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3330 E LOUISE DR STE 400, MERIDIAN, ID 83642-5123
(208) 381-2721
Mailing address
606 S SCOTT ST, BOISE, ID 83705-1819

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33281
ID

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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