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Gwen Marie Cutler, LMSW

Social Worker in Idaho Falls, ID. Individual provider (NPI-1).

NPI number1982102489
StatusActive
Last updated in NPPESJan 30, 2018

Details

NPI
1982102489
Entity type
Individual (NPI-1)
Name
Gwen Marie Cutler
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Jan 30, 2018
Last updated
Jan 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerLMSW-35142IDYes

Other names

  • Gwendolyn Moa (Former Name)

Practice location

163 E Elva St
Idaho Falls, ID 83402-2233

Phone 208-932-4493 · Fax 208-932-4582

Mailing address

179 S Milton Ave
Shelley, ID 83274-1337

Phone 208-339-4936

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