Individual
SUSAN NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10142 W CREEK SIDE RD, COEUR D ALENE, ID 83814-7134
(208) 305-3772
Mailing address
10142 W CREEK SIDE RD, COEUR D ALENE, ID 83814-7134
(208) 305-3772
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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