ANGIE JO RADFORD

AMMON, ID
NPI1831292754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LMSW - 27203)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
-- ANGIE JO RADFORD LMSW
1675 CURLEW DRIVE
AMMON, ID 83406
Phone number: 208-529-4300
Mailing Address
-- ANGIE JO RADFORD LMSW
3061 N MIDNIGHT BLUE DRIVE
IDAHO FALLS, ID 83401
Phone number: 208-529-4300
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