ALTAN C HARDCASTLE

POCATELLO, ID
NPI1457521114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-28700)
Enumeration Date2008-03-08
Last Update Date2008-03-08
Business Address
-- ALTAN C HARDCASTLE LCSW
732 WASHINGTON AVE
POCATELLO, ID 83201-3748
Phone number: 208-852-6385
Mailing Address
-- ALTAN C HARDCASTLE LCSW
499 KURTWOOD DR
POCATELLO, ID 83204-3556
Phone number: 208-852-6385
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