Organization
JUSTINE SWEET, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE SWEET LCSW (CLINICIAN/OWNER)
(208) 316-9438
Entity
Organization
Contact information
Practice address
510 MAGNOLIA AVE, TWIN FALLS, ID 83301-6210
(208) 316-9438
Mailing address
1525 ADDISON AVE E, D4, TWIN FALLS, ID 83301-5300
(208) 316-9438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316228976
—
ID
Enumeration date
05/01/2017
Last updated
07/21/2022
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