KRISTY LEE BRONCHO

FORT HALL, ID
NPI1932323045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-24506)
Enumeration Date2007-04-12
Last Update Date2018-10-10
Business Address
Ms. KRISTY LEE BRONCHO LCSW
MISSION ROAD BLDING 248 FORT HALL INDIAN AGENCY
FORT HALL, ID 83203
Phone number: 208-237-5631
Mailing Address
Ms. KRISTY LEE BRONCHO LCSW
RR 6 BOX 918
POCATELLO, ID 83202-9549
Phone number: 208-637-8032
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