TREVOR SPARROW

POCATELLO, ID
NPI1225304074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-03-27
Last Update Date2012-03-27
Business Address
-- TREVOR SPARROW
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
Mailing Address
-- TREVOR SPARROW
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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