Individual
ANGELLA JOY CATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1327 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 538-3122
Mailing address
PO BOX 2492, IDAHO FALLS, ID 83403-2492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-37024
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
ID
Enumeration date
09/19/2019
Last updated
09/19/2019
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