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1437264819
GARY MCKELL
IDAHO FALLS, ID
NPI
1437264819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-82)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Mr. GARY MCKELL LCSW
1477 RIVIERA DR
IDAHO FALLS, ID 83404-5618
Phone number: 208-522-5032
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Mailing Address
Mr. GARY MCKELL LCSW
1477 RIVIERA DR
IDAHO FALLS, ID 83404-5618
Phone number: 208-522-5032
Copy
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