Individual
KAREN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3846 N MAIN, IONA, ID 83427
(208) 569-5225
Mailing address
PO BOX 757, IONA, ID 83427-0757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW26626
ID
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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