Individual
MS. MARLENE MYRA BUBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MARLENE BUBAR
Contact information
Practice address
722 NORVIN AVE, IDAHO FALLS, ID 83401-3047
(208) 524-4937
Mailing address
722 NORVIN AVE, IDAHO FALLS, ID 83401-3047
(208) 524-4937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-557
ID
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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