STEVEN D PROCTOR

POCATELLO, ID
NPI1528228806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
STEVEN D PROCTOR LCSW
651 MEMORIAL DR
POCATELLO, ID 83201-4071
Phone number: 208-239-2110
Mailing Address
STEVEN D PROCTOR LCSW
651 MEMORIAL DR
POCATELLO, ID 83201-4071
Phone number: 208-239-2110