Individual
LESLEE ROMRELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 SHOUP AVE STE 17, IDAHO FALLS, ID 83402-3653
(208) 528-5929
Mailing address
150 SHOUP AVE STE 17, IDAHO FALLS, ID 83402-3653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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