PEGGY J CLARK

IDAHO FALLS, ID
NPI1407032709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW28036)
Enumeration Date2008-01-16
Last Update Date2008-01-16
Business Address
Mrs. PEGGY J CLARK LSW28036
1740 E 17TH ST STE B
IDAHO FALLS, ID 83404-6375
Phone number: 208-529-8832
Mailing Address
Mrs. PEGGY J CLARK LSW28036
1740 E 17TH ST STEB
IDAHO FALLS, ID 83404
Phone number: 208-529-8832
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