Individual
SARAH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8950 W EMERALD ST, BOISE, ID 83704-4854
(208) 376-7083
Mailing address
8950 W EMERALD ST, BOISE, ID 83704-4854
(208) 376-7083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
39217
ID
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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