RICHARD BLOXHAM

POCATELLO, ID
NPI1588026553
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-2395)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- RICHARD BLOXHAM LSW
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
Mailing Address
-- RICHARD BLOXHAM LSW
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number:
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