CORY BLAD

IDAHO FALLS, ID
NPI1073987814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW 35281)
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
-- CORY BLAD LMSW
2235 E 25TH ST SUITE 190
IDAHO FALLS, ID 83404-7519
Phone number: 208-991-4296
Mailing Address
-- CORY BLAD LMSW
2235 E 25TH ST SUITE 190
IDAHO FALLS, ID 83404-7519
Phone number: 208-991-4296
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