SHANDRA BLACKER

IDAHO FALLS, ID
NPI1063892750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  34857)
Enumeration Date2015-06-08
Last Update Date2015-06-08
Business Address
-- SHANDRA BLACKER LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Mailing Address
-- SHANDRA BLACKER LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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