Individual
NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5299
(801) 582-1565
Mailing address
530 BOB O LINK DR, IDAHO FALLS, ID 83401-3854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6281611
ID
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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