SHARLI ELIZABETH VAN WAGENEN

IDAHO FALLS, ID
NPI1275805954
Former NameSHARLI ELIZABETH TRUMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2012-01-27
Last Update Date2012-01-27
Business Address
Mrs. SHARLI ELIZABETH VAN WAGENEN BS
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-8866
Mailing Address
Mrs. SHARLI ELIZABETH VAN WAGENEN BS
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-8866