Individual
KRISTAN ANN KUDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS IN PSYCHOLOGY
Contact information
Practice address
8610 W OVERLAND RD, BOISE, ID 83709-1645
(208) 514-2500
Mailing address
8610 W OVERLAND RD, BOISE, ID 83709-1645
(208) 514-2500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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