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Individual

TERRAKA GARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1001 N 7TH AVE STE 160, POCATELLO, ID 83201-5786
(208) 909-5177
Mailing address
PO BOX 2811, IDAHO FALLS, ID 83403-2811
(208) 909-5177

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
42582
ID

Other

Enumeration date
10/12/2022
Last updated
10/12/2022
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