Individual
GWEN MARIE CUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
163 E ELVA ST, IDAHO FALLS, ID 83402-2233
(208) 932-4493
(208) 932-4582
Mailing address
179 S MILTON AVE, SHELLEY, ID 83274-1337
(208) 339-4936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-35142
ID
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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