Individual
MRS. ANNE MARIE PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
840 JEWELL ST, BLACKFOOT, ID 83221-3074
(208) 680-4357
Mailing address
840 JEWELL ST, BLACKFOOT, ID 83221-3074
(208) 680-4357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L.C.S.W 1121
ID
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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