KATHLEEN RENE SMITH

POCATELLO, ID
NPI1235689902
Former NameKATHLEEN RENE SCHROEDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  SE202993)
Enumeration Date2016-10-06
Last Update Date2016-10-06
Business Address
-- KATHLEEN RENE SMITH SE202993
1000 N 8TH AVE
POCATELLO, ID 83201-5757
Phone number: 208-232-6260
Mailing Address
-- KATHLEEN RENE SMITH SE202993
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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