BIRDEE LYNNE DAVIS

POCATELLO, ID
NPI1447708177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: ID  PTA-2547)
Enumeration Date2016-09-11
Last Update Date2016-09-11
Business Address
-- BIRDEE LYNNE DAVIS PTA
715 CHERRY ST
POCATELLO, ID 83201-5646
Phone number: 208-705-4999
Mailing Address
-- BIRDEE LYNNE DAVIS PTA
715 CHERRY ST
POCATELLO, ID 83201-5646
Phone number: 208-705-4999
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COMMUNITY MENTAL HEALTH SERVICES