JOHNNY JOSIAH MEEHAN

BOISE, ID
NPI1003103458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-42126)
Enumeration Date2011-07-06
Last Update Date2022-05-17
Business Address
Mr. JOHNNY JOSIAH MEEHAN LCSW
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-9600
Mailing Address
Mr. JOHNNY JOSIAH MEEHAN LCSW
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431
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