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 Date2025-07-02
Business Address
SUSANNE JUDITH CARROLL LCSW
2200 W FAIRVIEW AVE
BOISE, ID 83702-6808
Phone number: 208-318-1363
Mailing Address
SUSANNE JUDITH CARROLL LCSW
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431