Individual
MS. SUSAN C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
414 SHOUP AVE W, SUTIE B, TWIN FALLS, ID 83301-5042
(208) 814-9100
Mailing address
1373 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 814-9100
(208) 814-9903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30820
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477837698
—
ID
Enumeration date
10/06/2011
Last updated
01/25/2018
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