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
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