-- ANITA AGUILAR -- LSW 24219
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1881000578- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LSW 24219
- Status
- Active
Contact & Location
- Address
- 209 E LEWIS ST, POCATELLO, ID, 832016465
- Phone
- (208) 233-7693
Specialties & Taxonomies
Social Worker
Primary License: ID #LSW24219
All Addresses
MAILING
209 E LEWIS ST
POCATELLO, ID, 832016465