LETA M NEUSTAEDTER

BOISE, ID
NPI1154476182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  lcsw-28520)
Enumeration Date2007-01-23
Last Update Date2009-10-13
Business Address
-- LETA M NEUSTAEDTER LCSW
910 MAIN ST #231
BOISE, ID 83702-5720
Phone number: 208-697-4703
Mailing Address
-- LETA M NEUSTAEDTER LCSW
910 MAIN ST #231
BOISE, ID 83702-5720
Phone number: 208-697-4703