Individual
KATHERINE P. GORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 JOHN ADAMS PKWY, SUITE 102, IDAHO FALLS, ID 83401-4300
(208) 529-5276
Mailing address
534 TREJO STREET, REXBURG, ID 83440
(208) 356-3776
(208) 356-9498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27603
ID
Other
Enumeration date
01/18/2007
Last updated
12/30/2008
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