CARLY KAY POWELL

IDAHO FALLS, ID
NPI1073974515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2016-03-11
Last Update Date2016-03-11
Business Address
MRS. CARLY KAY POWELL
150 SHOUP AVENUE
IDAHO FALLS, ID 83402
Phone number: 208-201-3978
Mailing Address
MRS. CARLY KAY POWELL
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number: 208-201-3978
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