Individual
FABIOLA SAUCEDO MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210
(208) 955-7333
Mailing address
2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210
(208) 242-6522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-40876
ID
Other
Enumeration date
05/06/2022
Last updated
01/03/2025
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