DANIEL GRAHAM RASMUSSEN

POCATELLO, ID
NPI1568974541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-36436)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
Mr. DANIEL GRAHAM RASMUSSEN LSW
335 N. MAIN
POCATELLO, ID 83204
Phone number: 208-478-8340
Mailing Address
Mr. DANIEL GRAHAM RASMUSSEN LSW
335 N MAIN ST
POCATELLO, ID 83204-3108
Phone number: 208-478-8340