Individual
MS. CHARLOTTE MIXON LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
570 S COLE RD, BOISE, ID 83709-0939
(208) 863-2903
Mailing address
570 S COLE RD, BOISE, ID 83709-0939
(208) 863-2903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31600
ID
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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