Individual
CIARA JOANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
923 GRANT ST, CALDWELL, ID 83605-4137
(208) 585-3375
Mailing address
923 GRANT ST, CALDWELL, ID 83605-4137
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
80058
CA
104100000X
Social Worker
Primary
LMSW-40119
ID
Other
Enumeration date
01/24/2017
Last updated
11/05/2020
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