Individual
MS. SUZANNE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6126 W STATE ST STE 109, BOISE, ID 83703-2741
(208) 850-9846
Mailing address
6126 W STATE ST STE 109, BOISE, ID 83703-2741
(208) 850-9846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-27165
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002803300
—
ID
Enumeration date
03/23/2007
Last updated
12/19/2024
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