Individual
MRS. RAMATOULIE DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5999 W STATE ST, SUITE B, BOISE, ID 83703-5059
(208) 853-5095
(208) 583-5125
Mailing address
178 W INDIAN ROCKS ST, MERIDIAN, ID 83646-4981
(208) 853-5095
(208) 853-5125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30579
ID
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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