Individual
MR. REX DELANE THORNLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
605 N CAPITAL AVE, IDAHO FALLS, ID 83402-3582
(208) 529-1350
Mailing address
2742 COUNTY CORK LN, IDAHO FALLS, ID 83404-8300
(208) 705-5071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-24942
ID
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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