PAUL BRYAN WURTSMITH

AMMON, ID
NPI1154822831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-37202)
Enumeration Date2018-02-27
Last Update Date2018-02-27
Business Address
PAUL BRYAN WURTSMITH
3754 BRIAR CREEK LN
AMMON, ID 83406-4688
Phone number: 360-831-7425
Mailing Address
PAUL BRYAN WURTSMITH
3754 BRIAR CREEK LN
AMMON, ID 83406-4688
Phone number: 360-831-7425
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