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Individual

SHANNAH BEAUDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
1111 S ORCHARD ST STE 110, BOISE, ID 83705-1961
(208) 919-4692
Mailing address
3194 S SIGNORELLO LN, MERIDIAN, ID 83642-5064
(208) 869-3039

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ID

Other

Enumeration date
06/11/2026
Last updated
06/11/2026
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