Individual
MRS. NORMA SUE SPRING BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6485 W INTERCHANGE LN STE 110, BOISE, ID 83709-2102
(208) 696-4287
Mailing address
6485 W INTERCHANGE LN STE 110, BOISE, ID 83709-2102
(307) 413-6097
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-40795
ID
104100000X
Social Worker
—
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-44420
ID
1041C0700X
Clinical Social Worker
LMSW
ID
Other
Enumeration date
05/19/2021
Last updated
12/07/2023
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