Individual
GENE RYAN BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1970 E 17TH ST STE 202, IDAHO FALLS, ID 83404-8048
(208) 523-5319
(208) 523-5627
Mailing address
1970 E 17TH ST STE 202, IDAHO FALLS, ID 83404-8048
(208) 523-5319
(208) 523-5627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31211
ID
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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