KAYLENE BOBI HACKWORTH

POCATELLO, ID
NPI1578599049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-719)
Enumeration Date2006-06-24
Last Update Date2007-07-08
Business Address
-- KAYLENE BOBI HACKWORTH LCSW
947 ROCKY POINT RD
POCATELLO, ID 83204-4811
Phone number: 208-232-2239
Mailing Address
-- KAYLENE BOBI HACKWORTH LCSW
947 ROCKY POINT RD
POCATELLO, ID 83204-4811
Phone number: 208-232-2239
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