Leticia J Reyes LMSW

NPI 1760512396 - Social Worker - 1041C0700X

NPI Details
NPI 1760512396
Gender Female
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
BLACKFOOT ID, 83221-2336, US
Phone (208) 782-2050
Business Location
23 S 800 W
BLACKFOOT ID, 83221-6127, US
Phone (208) 684-4744
Taxonomy Code 1041C0700X
License State Idaho
License Number LMSW27346
Remove 1760512396 NPI Number

According to our database, Mrs. Leticia J Reyes LMSW NPI is 1760512396, taxonomy code is 1041C0700X and license number is LMSW27346, license state is located at Idaho. Leticia J Reyes LMSW physically located at 495 N Shilling Ave, Blackfoot ID, 83221-2336. NPI Number Leticia J Reyes LMSW has the Individual type.

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1760512396 NPI number is provided on an as is basis without warranty of any kind. 1760512396 is maintained by the National Plan & Provider Enumeration System. The contents of Leticia J Reyes LMSW are for informational purposes only.