Individual
RACHEL OSTERMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 E 7TH N, REXBURG, ID 83440-3550
(208) 359-9683
Mailing address
242 E 7TH N, REXBURG, ID 83440-3550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37292
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639292626
—
ID
Enumeration date
07/11/2018
Last updated
07/11/2018
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