Individual
LOUIE CIBRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 DIVIDEND DR, SUITE 3, REXBURG, ID 83440-3556
(208) 359-9683
Mailing address
218 DIVIDEND DR, SUITE 3, REXBURG, ID 83440-3556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34281
ID
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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