Organization
NATASHA J CUTLER, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ARLENE GOSS (CREDENTIALING)
(208) 221-1161
Entity
Organization
Contact information
Practice address
1070 HILINE RD STE 335, POCATELLO, ID 83201-2955
(208) 681-9178
(208) 575-0474
Mailing address
1070 HILINE RD STE 335, POCATELLO, ID 83201-2955
(208) 681-9178
(208) 575-0474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 34676
ID
Other
Enumeration date
10/14/2016
Last updated
06/09/2023
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