Individual
SARAH WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 E 17TH ST, SUITE C, IDAHO FALLS, ID 83404-6375
(208) 524-1278
Mailing address
3579 SPRING CREEK DR, IDAHO FALLS, ID 83404-8213
(208) 542-6489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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