KENNETH CRAIG MINNIX

IDAHO FALLS, ID
NPI1386780161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-434)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- KENNETH CRAIG MINNIX LCSW
1600 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4300
Phone number: 208-529-5276
Mailing Address
-- KENNETH CRAIG MINNIX LCSW
1600 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4300
Phone number: 208-529-5276
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