Individual
BARBARA PANCOAST YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1053 W BRIDGE ST, BLACKFOOT, ID 83221
(208) 242-3044
Mailing address
4674 NAVAJO ST, POCATELLO, ID 83204-3724
(208) 233-8540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27036
ID
Other
Enumeration date
10/23/2006
Last updated
07/13/2018
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