DIANE WATSON MARTIN

CHUBBUCK, ID
NPI1265678387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCSW726)
Enumeration Date2008-12-18
Last Update Date2008-12-18
Business Address
-- DIANE WATSON MARTIN LCSW
4460 CENTRAL WAY SUITE 2
CHUBBUCK, ID 83202-5095
Phone number: 208-237-1711
Mailing Address
-- DIANE WATSON MARTIN LCSW
4460 CENTRAL WAY SUITE 2
CHUBBUCK, ID 83202-5095
Phone number: 208-237-1711
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