KAYLEE MARIE ETHRIDGE

POCATELLO, ID
NPI1043021207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  5271240)
Enumeration Date2025-01-16
Last Update Date2025-07-18
Business Address
KAYLEE MARIE ETHRIDGE LMSW
101 S MAIN ST
POCATELLO, ID 83204-3210
Phone number: 208-232-8840
Mailing Address
KAYLEE MARIE ETHRIDGE LMSW
4317 OPAL AVE TRLR 36
POCATELLO, ID 83204-2145
Phone number:
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