MARY MARDELL SMITH

IDAHO FALLS, ID
NPI1497907869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-1005)
Enumeration Date2008-10-16
Last Update Date2008-10-16
Business Address
-- MARY MARDELL SMITH LCSW
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-524-5607
Mailing Address
-- MARY MARDELL SMITH LCSW
306 E 24TH ST
IDAHO FALLS, ID 83404-6947
Phone number: 208-528-6364
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