Zachery R Warren LPC3960

NPI 1053597344 - Social Worker - 1041C0700X

NPI Details
NPI 1053597344
Gender Male
Enumeration Date 01/16/2008
Last Updated 02/17/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1740 E 17TH ST
SUITE A
IDAHO FALLS ID, 83404-6375, US
Phone (208) 346-7500
Fax (208) 346-7501
Business Location
1740 E 17TH ST
SUITE A
IDAHO FALLS ID, 83404-6375, US
Phone (208) 346-7500
Fax (208) 346-7501
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LPC3960
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According to our database, Mr. Zachery R Warren LPC3960 NPI is 1053597344, taxonomy code is 1041C0700X and license number is LPC3960, license state is located at Idaho. Zachery R Warren LPC3960 physically located at 1740 E 17th St, Idaho Falls ID, 83404-6375. NPI Number Zachery R Warren LPC3960 has the Individual type.

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1053597344 NPI number is provided on an as is basis without warranty of any kind. 1053597344 is maintained by the National Plan & Provider Enumeration System. The contents of Zachery R Warren LPC3960 are for informational purposes only.