Individual
HEATHER L POCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
218 DIVIDEND DR, SUITE 3, REXBURG, ID 83440-3556
(208) 359-9683
(208) 359-9683
Mailing address
218 DIVIDEND DR, SUITE 3, REXBURG, ID 83440-3556
(208) 359-9683
(208) 359-9683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-29919
ID
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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