NATHAN POWELL

BOISE, ID
NPI1083968374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW 935)
Enumeration Date2012-11-08
Last Update Date2012-11-08
Business Address
-- NATHAN POWELL
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
-- NATHAN POWELL
500 WEST FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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