JOANNA LAREE TRUSSEL BERG

IDAHO FALLS, ID
NPI1629294897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-33843)
Enumeration Date2007-04-17
Last Update Date2024-07-23
Business Address
Miss JOANNA LAREE TRUSSEL BERG LCSW
2539 CHANNING WAY STE 100
IDAHO FALLS, ID 83404-7558
Phone number: 208-521-9946
Mailing Address
Miss JOANNA LAREE TRUSSEL BERG LCSW
PO BOX 372
RIGBY, ID 83442-0372
Phone number: 208-521-9946
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