Individual
CARLIE MICHELLE HORROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 YELLOWSTONE AVE, SUITE J, POCATELLO, ID 83201-4478
(208) 233-1276
(208) 233-0835
Mailing address
1023 YELLOWSTONE AVE, SUITE J, POCATELLO, ID 83201-4478
(208) 233-1276
(208) 233-0835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32449
ID
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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