Individual
SUZANNE REBECCA GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PSYCH
Contact information
Practice address
6205 W OVERLAND RD, BOISE, ID 83709-3020
(208) 900-8240
Mailing address
1227 E MAINE AVE, NAMPA, ID 83686-7278
(208) 900-8240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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