Individual
MRS. CAROLYN JANE BRYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T.
Contact information
Practice address
381 S HAYWARD AVE, KUNA, ID 83634-2257
(208) 724-3917
Mailing address
381 S HAYWARD AVE, KUNA, ID 83634-2257
(208) 724-3917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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