Individual
CHERI ELIZABETH TENSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1077 DOLOSTONE DR, POCATELLO, ID 83201-5088
(208) 241-2349
Mailing address
1077 DOLOSTONE DR, POCATELLO, ID 83201-5088
(208) 241-2349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW24743
ID
Other
Enumeration date
09/08/2021
Last updated
09/23/2021
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