NATHAN FAUNTLEROY

BOISE, ID
NPI1043871668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  38789)
Enumeration Date2019-06-25
Last Update Date2019-06-25
Business Address
NATHAN FAUNTLEROY LMSW
1529 BELMONT ST
BOISE, ID 83706
Phone number: 208-426-1459
Mailing Address
NATHAN FAUNTLEROY LMSW
1247 S DIVISION AVE
BOISE, ID 83706-3652
Phone number: 317-755-6008
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