ONTAYA ACEDO

POCATELLO, ID
NPI1104436062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-39736)
Enumeration Date2020-08-05
Last Update Date2020-08-05
Business Address
ONTAYA ACEDO LMSW
151 N 3RD AVE STE 330
POCATELLO, ID 83201-6369
Phone number: 208-242-3771
Mailing Address
ONTAYA ACEDO LMSW
151 N 3RD AVE STE 330
POCATELLO, ID 83201-6369
Phone number:
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