WILLIAM C. SLAVEN

POCATELLO, ID
NPI1235437591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW 28016)
Enumeration Date2011-03-09
Last Update Date2011-03-09
Business Address
Mr. WILLIAM C. SLAVEN LCSW, CADC
1135 YELLOWSTONE AVE SUITE D
POCATELLO, ID 83201-5082
Phone number: 208-237-3365
Mailing Address
Mr. WILLIAM C. SLAVEN LCSW, CADC
147 W LINDEN AVE
CHUBBUCK, ID 83202-2306
Phone number: 208-237-3365
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