Individual
CHERYL GIMMESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 GEMINI DR, REXBURG, ID 83440-1843
(208) 699-0573
Mailing address
607 GEMINI DR, REXBURG, ID 83440-1843
(208) 699-0573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-42734
ID
Other
Enumeration date
01/24/2017
Last updated
07/09/2025
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