Individual
MS. CINDY LYNN WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 HILINE RD # 201, POCATELLO, ID 83201-2947
(208) 478-9081
Mailing address
1070 HILINE RD # 201, POCATELLO, ID 83201-2947
(208) 478-9081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-38184
ID
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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