ETHAN SMITH

IDAHO FALLS, ID
NPI1144657966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2013-10-11
Last Update Date2013-10-11
Business Address
-- ETHAN SMITH LMSW
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-524-5607
Mailing Address
-- ETHAN SMITH LMSW
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number:
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