DONEVAN B NEIDER

IDAHO FALLS, ID
NPI1447294004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-27313)
Enumeration Date2006-06-15
Last Update Date2009-05-06
Business Address
-- DONEVAN B NEIDER LCSW
1522 ELK CREEK DRIVE
IDAHO FALLS, ID 83404
Phone number: 208-552-0920
Mailing Address
-- DONEVAN B NEIDER LCSW
1522 ELK CREEK DRIVE
IDAHO FALLS, ID 83404
Phone number: 208-552-0920
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