VAIL CODLING

REXBURG, ID
NPI1457575771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-24885)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Mr. VAIL CODLING LCSW
631 N 200 E SUITE 1
REXBURG, ID 83440-3599
Phone number: 208-356-6975
Mailing Address
Mr. VAIL CODLING LCSW
561 N 2000 E
ST ANTHONY, ID 83445-5318
Phone number: 208-624-3199