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Individual

VICTORIA BERTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
335 N MAIN ST, POCATELLO, ID 83204-3108
(208) 478-8340
(208) 478-8341
Mailing address
PO BOX 2306, POCATELLO, ID 83206-2306
(208) 478-8340
(208) 478-8341

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-399113
ID
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
06/07/2010
Last updated
10/15/2020
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