TYRONE RICHARD SHUMAN

POCATELLO, ID
NPI1396040036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-30671)
Enumeration Date2011-01-11
Last Update Date2011-01-11
Business Address
Mr. TYRONE RICHARD SHUMAN LCSW
732 WASHINGTON AVE
POCATELLO, ID 83201-3748
Phone number: 208-478-9822
Mailing Address
Mr. TYRONE RICHARD SHUMAN LCSW
1326 KIERSTEN DR
CHUBBUCK, ID 83202-7704
Phone number: 208-234-7032
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