Individual
ANA ROSA CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(208) 322-1026
Mailing address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(208) 871-7091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44152
ID
104100000X
Social Worker
63389
TX
Other
Enumeration date
07/07/2023
Last updated
11/01/2023
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