MICHAEL SHANE OLDFIELD

IDAHO FALLS, ID
NPI1174756290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  29470)
Enumeration Date2009-08-24
Last Update Date2009-08-24
Business Address
Mr. MICHAEL SHANE OLDFIELD LMSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
Mailing Address
Mr. MICHAEL SHANE OLDFIELD LMSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
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