AUSTIN MICHAL FONTES

IDAHO FALLS, ID
NPI1457042814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-43547)
Enumeration Date2023-05-17
Last Update Date2023-05-17
Business Address
AUSTIN MICHAL FONTES LMSW
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
Mailing Address
AUSTIN MICHAL FONTES LMSW
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
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