Individual
SHELBY DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2273 E GALA ST, MERIDIAN, ID 83642-7289
(208) 323-8888
Mailing address
715 W IDAHO AVE, MERIDIAN, ID 83642-2420
(208) 946-6321
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39050
ID
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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