NICHOLAS GARY CLEMENT

POCATELLO, ID
NPI1316563794
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-8861356)
Enumeration Date2020-06-22
Last Update Date2025-11-18
Business Address
NICHOLAS GARY CLEMENT MA, LMSW
845 W CENTER ST # L206
POCATELLO, ID 83204-4205
Phone number: 208-705-0506
Mailing Address
NICHOLAS GARY CLEMENT MA, LMSW
711 GOLF DR
POCATELLO, ID 83204-3733
Phone number: 208-705-0506
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