Individual
BROOKE B LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13403 N GOVERNMENT WAY STE 118, HAYDEN, ID 83835-8906
(208) 210-6445
(208) 601-6162
Mailing address
PO BOX 131, HAYDEN, ID 83835-0131
(208) 210-6445
(208) 601-6162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09929740
CO
1041C0700X
Clinical Social Worker
Primary
LCSW-43344
ID
Other
Enumeration date
08/28/2020
Last updated
11/27/2023
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