Individual
MARYANNE SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 S MERIDIAN RD STE 150, MERIDIAN, ID 83642-7960
(208) 297-9495
Mailing address
2825 S MERIDIAN RD STE 150, MERIDIAN, ID 83642-7960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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