Individual
SANDRA ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7192 W POTOMAC DR, BOISE, ID 83704-9147
(208) 489-8311
Mailing address
1707 E WARM SPRINGS AVE, BOISE, ID 83712-8144
(208) 365-8024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-41838
ID
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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