Individual
SHAUNA A WASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
335 E MAIN ST STE 3, SAINT ANTHONY, ID 83445-1546
(208) 356-4900
(208) 624-4030
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-45236
ID
Other
Enumeration date
07/23/2024
Last updated
08/09/2024
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