SUSANNE JUDITH CARROLL

BOISE, ID
NPI1518137546
Former NameSUSANNE JUDITH JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-27912)
Enumeration Date2008-03-05
Last Update Date2022-11-08
Business Address
SUSANNE JUDITH CARROLL LCSW
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
Mailing Address
SUSANNE JUDITH CARROLL LCSW
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431
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