BRUCE W BLANCHARD

REXBURG, ID
NPI1588969646
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-874)
Enumeration Date2011-01-21
Last Update Date2011-01-21
Business Address
Mr. BRUCE W BLANCHARD MSW
27 K ST
REXBURG, ID 83440-1441
Phone number: 208-356-4845
Mailing Address
Mr. BRUCE W BLANCHARD MSW
27 K ST
REXBURG, ID 83440-1441
Phone number: 208-356-4845