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Individual

LAURI EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1001 N 7TH AVE STE 260, POCATELLO, ID 83201-5786
(208) 242-9087
Mailing address
2850 BANNOCK HWY UNIT 20, POCATELLO, ID 83204-3626

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8671392
ID
171M00000X
Case Manager/Care Coordinator
Primary
ID

Other

Enumeration date
11/04/2025
Last updated
04/29/2026
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