STACI J. BRISCOE

POCATELLO, ID
NPI1578789392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LSW27082)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
-- STACI J. BRISCOE LSW
2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
Mailing Address
-- STACI J. BRISCOE LSW
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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