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Individual

MS. CHERISH A HAROLDSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW2377

Contact information

Practice address
1740 E 17TH ST, SUITE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Mailing address
1740 E 17TH ST STEB, IDAHO FALLS, ID 83404
(208) 529-8832
(208) 522-8725

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW2377
ID

Other

Enumeration date
12/27/2007
Last updated
12/27/2007
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