Individual
MRS. MARY MARGARET SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1412 W WASHINGTON ST, BOISE, ID 83702-5038
(208) 319-6948
(208) 367-9242
Mailing address
1412 W WASHINGTON ST, BOISE, ID 83702-5038
(208) 319-6948
(208) 367-9242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-27937
ID
1041C0700X
Clinical Social Worker
LCSW-992086
CO
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/27/2007
Last updated
08/28/2023
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