LAUREN ELIZABETH ELLSWORTH

POCATELLO, ID
NPI1811417272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: ID  CPSS415)
Enumeration Date2017-06-26
Last Update Date2022-07-21
Business Address
LAUREN ELIZABETH ELLSWORTH
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201-2744
Phone number: 208-233-7832
Mailing Address
LAUREN ELIZABETH ELLSWORTH
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201-2744
Phone number: 208-233-7832
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