TINA RENEE CLEVERLEY

IDAHO FALLS, ID
NPI1760174957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-43623)
Additional Taxonomies104100000X Social Worker
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
TINA RENEE CLEVERLEY LMSW
1810 W BROADWAY ST
IDAHO FALLS, ID 83402-5072
Phone number: 208-552-7011
Mailing Address
TINA RENEE CLEVERLEY LMSW
665 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4072
Phone number: 208-552-7011
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