SUSANNA CASTLEBERRY

MOUNTAIN HOME AFB, ID
NPI1518365618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: FL  SW 12633)
Additional Taxonomies1041C0700X Social Worker Clinical
(Licence: FL  ISW8008)
1041C0700X Social Worker Clinical
(Licence: AZ  LMSW13810)
Enumeration Date2014-12-05
Last Update Date2025-10-07
Business Address
SUSANNA CASTLEBERRY LCSW
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-7580
Mailing Address
SUSANNA CASTLEBERRY LCSW
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-7580