AUTUMN L GUSDAL

POST FALLS, ID
NPI1629628409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  6071849)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-09-13
Last Update Date2024-12-19
Business Address
Mrs. AUTUMN L GUSDAL BIS
210 E 14TH AVE
POST FALLS, ID 83854-7659
Phone number: 208-704-0717
Mailing Address
Mrs. AUTUMN L GUSDAL BIS
210 E 14TH AVE
POST FALLS, ID 83854-7659
Phone number: 208-704-0717