MIRIAM PATRICIA SOUTHERN

BOISE, ID
NPI1891359980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2019-04-24
Last Update Date2019-04-24
Business Address
MIRIAM PATRICIA SOUTHERN
1720 N WESTGATE DR STE A-1
BOISE, ID 83704-7164
Phone number: 208-334-0800
Mailing Address
MIRIAM PATRICIA SOUTHERN
1720 N WESTGATE DR STE A-1
BOISE, ID 83704-7164
Phone number:
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