Individual
SHAWNA RUTH SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6972 E FOOTHILL RD, IDAHO FALLS, ID 83401-6052
(208) 716-4239
Mailing address
6972 E FOOTHILL RD, IDAHO FALLS, ID 83401-6052
(208) 716-4239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
40528
ID
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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