DAVEY BURRELL

POCATELLO, ID
NPI1033382726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LSW26555)
Enumeration Date2008-04-02
Last Update Date2008-04-02
Business Address
-- DAVEY BURRELL
2055 GARRETT WAY STE. 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
Mailing Address
-- DAVEY BURRELL
2055 GARRETT WAY STE. 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
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