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IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6

Early Intervention Provider Agency

NPI: 1164563508Organization

Specialties, Licenses & Credentials

Local Education Agency (LEA)

Code: 251300000X

Early Intervention Provider Agency

Code: 252Y00000X

Contact & Hours

Address
421 MEMORIAL DR
POCATELLO, ID 83201

Quick Facts

NPI
1164563508
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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