Mrs. Peggy J Clark, LSW28036
Mrs. Peggy J Clark, LSW28036 is a Social Worker in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
1740 E 17th St Ste BIdaho Falls, ID 83404-6375
Phone: (208) 529-8832
Fax: (208) 522-8725
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence LSW28036 (ID) |
|---|
Record details
| NPI number | 1407032709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LSW28036 |
| Sole proprietor | No |
| NPI enumerated | January 16, 2008 |
| Last updated in NPPES | January 16, 2008 |
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