STACI SUTHERLAND

IDAHO FALLS, ID
NPI1477219061
Former NameSTACI CLAVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  39337)
Enumeration Date2021-11-09
Last Update Date2026-04-01
Business Address
STACI SUTHERLAND LMSW
1262 E 17TH ST
IDAHO FALLS, ID 83404-6126
Phone number: 208-346-0688
Mailing Address
STACI SUTHERLAND LMSW
1262 E 17TH ST
IDAHO FALLS, ID 83404-6126
Phone number: 208-346-0688
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