Individual
MS. JANICE ANNETTE LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2275 W BROADWAY ST., SUITE G., IDAHO FALLS, ID 83402-2902
(208) 524-7400
(208) 534-5715
Mailing address
2 VIRGINIA ST, PHENIX CITY, AL 36869-5436
(406) 250-9574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-41069
ID
1041C0700X
Clinical Social Worker
Primary
008823
GA
Other
Enumeration date
05/27/2006
Last updated
10/16/2023
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