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1811432966
LINDA CANTRELL
POCATELLO, ID
NPI
1811432966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-28640)
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
-- LINDA CANTRELL LCSW
427 N MAIN ST STE 101
POCATELLO, ID 83204-3016
Phone number: 208-705-0771
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Mailing Address
-- LINDA CANTRELL LCSW
1140 N MINK CREEK RD
POCATELLO, ID 83204-7250
Phone number: 208-705-0771
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