STACIE A WATKINS

POCATELLO, ID
NPI1922343326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-12-11
Last Update Date2012-12-11
Business Address
-- STACIE A WATKINS
353 N 4TH AVE STE 110
POCATELLO, ID 83201-6390
Phone number: 208-233-7832
Mailing Address
-- STACIE A WATKINS
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600