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1912050584
KATHERINE P. GORRELL
IDAHO FALLS, ID
NPI
1912050584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 27603)
Enumeration Date
2007-01-18
Last Update Date
2008-12-30
Business Address
-- KATHERINE P. GORRELL
1600 JOHN ADAMS PKWY SUITE 102
IDAHO FALLS, ID 83401-4300
Phone number: 208-529-5276
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Mailing Address
-- KATHERINE P. GORRELL
534 TREJO STREET
REXBURG, ID 83440
Phone number: 208-356-3776
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