SALLIE SUBLETTE

POCATELLO, ID
NPI1316961972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-339)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- SALLIE SUBLETTE
850 E CENTER ST
POCATELLO, ID 83201-5737
Phone number: 208-233-9204
Mailing Address
-- SALLIE SUBLETTE
5675 HILO DR
POCATELLO, ID 83204-4625
Phone number: 208-232-8838
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