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Organization

TANTA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAMATOULIE DEEN LCSW (EXECUTIVE DIRECTOR)
(208) 333-8333
Entity
Organization

Contact information

Practice address
413 W IDAHO ST STE 302, BOISE, ID 83702-6066
(208) 333-8333
(208) 344-7233
Mailing address
413 W IDAHO ST STE 302, BOISE, ID 83702-6066
(208) 333-8333
(208) 344-7233

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/07/2023
Last updated
12/01/2025
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