Individual
SAMONG SOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9850 W ST LUKES DR STE 290, NAMPA, ID 83687-7912
(208) 463-7300
(208) 463-7301
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33472
ID
Other
Enumeration date
01/06/2014
Last updated
05/14/2026
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