TANYA R FORSMAN

POCATELLO, ID
NPI1235265638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  187)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Ms. TANYA R FORSMAN MC
275 SOUTH 5TH AVE SUITE 155
POCATELLO, ID 83201
Phone number: 208-232-2506
Mailing Address
Ms. TANYA R FORSMAN MC
275 SOUTH 5TH AVE SUITE 155
POCATELLO, ID 83201
Phone number: 208-232-2506
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