Individual
PAULA SIMONE VAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9850 ST LUKES DR, NAMPA, ID 83687-7912
(209) 505-2000
Mailing address
9850 ST LUKES DR, NAMPA, ID 83687-7912
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37159
ID
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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