Individual
KANDI SUE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
2426 BOWMAN RD, EMMETT, ID 83617-9711
(208) 989-7221
Mailing address
2426 BOWMAN RD, EMMETT, ID 83617-9711
(208) 989-7221
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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