Individual
DR. MARY-ANN SONTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. LCSW
Contact information
Practice address
2201 N BRYSON RD, BOISE, ID 83713-5038
(406) 369-5293
Mailing address
2201 N BRYSON RD, BOISE, ID 83713-5038
(406) 369-5293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
972
MT
Other
Enumeration date
05/06/2014
Last updated
11/13/2024
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