Individual
SAMANTHA DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 S EAGLE RD STE 100, MERIDIAN, ID 83642-2447
(208) 986-4357
Mailing address
2921 W DILL DR, BOISE, ID 83705-4130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-44847
ID
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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