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Individual

CARTER ALEXANDER TANGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1276 W RIVER ST, BOISE, ID 83702-7066
(208) 338-4699
Mailing address
1117 S DALE ST, BOISE, ID 83706-7193
(208) 440-2426

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2171269
ID

Other

Enumeration date
05/27/2025
Last updated
05/27/2025
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