TRACI L BIRDSELL

LEWISTON, ID
NPI1427807627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-45152)
Enumeration Date2024-05-18
Last Update Date2024-05-18
Business Address
-- TRACI L BIRDSELL PhD
312 MILLER ST
LEWISTON, ID 83501-1944
Phone number: 208-750-1802
Mailing Address
-- TRACI L BIRDSELL PhD
3415 7TH ST
LEWISTON, ID 83501-4903
Phone number: