Individual
KAREN MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N WESTGATE DR STE A-1, BOISE, ID 83704-7164
(208) 334-0847
Mailing address
909 ANN ST, MCCALL, ID 83638-4119
(208) 634-3539
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-35181
ID
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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