Paul Bryan Wurtsmith

NPI #1154822831 in Ammon, Idaho

Provider Information

NPI Number: 1154822831
Entity Type: Individual
Name: Paul Bryan Wurtsmith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 27, 2018
Last Updated: Feb 27, 2018

Practice Location

Address: 3754 BRIAR CREEK LN
City: Ammon
State: Idaho
ZIP Code: 83406-4688
Phone: (360) 831-7425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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