MANDARAN LABRUM

POCATELLO, ID
NPI1457655631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-01-03
Last Update Date2011-01-03
Business Address
-- MANDARAN LABRUM
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5155
Phone number: 208-233-7832
Mailing Address
-- MANDARAN LABRUM
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5155
Phone number: 208-233-7832