BEN L WALTERS

IDAHO FALLS, ID
NPI1184234411
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: ID  563139723)
Enumeration Date2020-08-02
Last Update Date2020-08-02
Business Address
BEN L WALTERS Ed.S.
2871 AGNES ST
IDAHO FALLS, ID 83402-5639
Phone number: 208-270-2716
Mailing Address
BEN L WALTERS Ed.S.
2871 AGNES ST
IDAHO FALLS, ID 83402-5639
Phone number: 208-270-2716
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