Individual
MRS. SHERIDAN MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
992 W IDAHO AVE, ONTARIO, OR 97914-2111
(208) 741-3336
Mailing address
1220 S LINCOLN AVE, BOISE, ID 83706-3252
(949) 243-2063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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