Individual
REX T PULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3317 E CHASEWOOD DR, AMMON, ID 83406-4007
(208) 403-0135
Mailing address
5218 E BALL CIR, IONA, ID 83427-1212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9771072
ID
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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