PEYTON MALLORY GREEN

CHUBBUCK, ID
NPI1922828631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  1761571)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
PEYTON MALLORY GREEN LMSW
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number: 208-906-9823
Mailing Address
PEYTON MALLORY GREEN LMSW
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number: 208-906-9823