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Individual

ARYSSA DAWN MCBRIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2520 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 233-5433
(877) 284-2783
Mailing address
622 S 6TH AVE, POCATELLO, ID 83201-5812
(208) 317-5249

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/09/2021
Last updated
08/09/2021
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