Individual
SUNGAH MCGARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3456 E 17TH ST STE 270, AMMON, ID 83406-6749
(801) 655-5450
(385) 225-9327
Mailing address
2750 PLOMMON ST, IDAHO FALLS, ID 83402-5129
(801) 631-9758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12874681-3502
UT
1041C0700X
Clinical Social Worker
Primary
LCSW-44685
ID
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/28/2019
Last updated
06/20/2024
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