Individual
MRS. SHERYL KAY GOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
500 W FORT ST, CRH-2ND FLOOR, BOISE, ID 83702-4501
(208) 422-1018
Mailing address
500 W FORT ST, CRH-2ND FLOOR, BOISE, ID 83702-4501
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I. 0005787 SUPV
OH
Other
Enumeration date
10/21/2010
Last updated
02/05/2024
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