Individual
MR. SEBASTIAN DAVID CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1360 ALBION AVE, BURLEY, ID 83318-1818
(208) 878-7008
Mailing address
740 W 176 LN S, PAUL, ID 83347-8697
(208) 650-5822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
6471144
ID
Other
Enumeration date
06/14/2023
Last updated
01/29/2025
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