Individual
TRENT BEUTLER ALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
44 N 100 E, PRESTON, ID 83263-1326
(208) 852-4107
Mailing address
1568 E 400 S, PRESTON, ID 83263-5421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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