MIRTHIA MARIE SAMUELSON

IDAHO FALLS, ID
NPI1265821243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-37447)
Enumeration Date2015-01-14
Last Update Date2023-12-07
Business Address
MIRTHIA MARIE SAMUELSON LCSW
1565 E LINCOLN RD
IDAHO FALLS, ID 83401-2129
Phone number: 208-524-8996
Mailing Address
MIRTHIA MARIE SAMUELSON LCSW
1565 E LINCOLN RD
IDAHO FALLS, ID 83401-2129
Phone number: 208-524-8996
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