BETHANY LYNN LEDBETTER BLANK

IDAHO FALLS, ID
NPI1225692833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-37958)
Enumeration Date2019-04-29
Last Update Date2019-04-29
Business Address
Ms. BETHANY LYNN LEDBETTER BLANK LMSW
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402-3653
Phone number: 208-528-5956
Mailing Address
Ms. BETHANY LYNN LEDBETTER BLANK LMSW
2164 BROOKCLIFF DR
IDAHO FALLS, ID 83402-3840
Phone number: 208-520-3489