BRIAN BUTLER MECHAM

IDAHO FALLS, ID
NPI1326300310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-1335)
Enumeration Date2012-06-14
Last Update Date2012-06-14
Business Address
-- BRIAN BUTLER MECHAM LCSW
1165 S UTAH AVE
IDAHO FALLS, ID 83402-3321
Phone number: 208-522-6155
Mailing Address
-- BRIAN BUTLER MECHAM LCSW
3069 SUMMERWOOD CIR
AMMON, ID 83406-7540
Phone number: 208-552-5816
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