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Individual

SUZANNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
8660 W EMERALD ST STE 172, BOISE, ID 83704-4828
(208) 939-3865
Mailing address
2866 BO DANIEL LN, NAMPA, ID 83687-9048
(208) 695-9039

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3271272
ID

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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