GLENN ROSE

IDAHO FALLS, ID
NPI1154507796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW1887)
Enumeration Date2008-01-14
Last Update Date2008-01-14
Business Address
Mr. GLENN ROSE LSW1887
1740 E 17TH ST STE B
IDAHO FALLS, ID 83404-6375
Phone number: 208-529-8832
Mailing Address
Mr. GLENN ROSE LSW1887
1740 E 17TH ST STE B
IDAHO FALLS, ID 83404-6375
Phone number: 208-529-8832
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