MARK KEYLOR

CALDWELL, ID
NPI1104371186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-35786)
Enumeration Date2016-08-19
Last Update Date2016-08-19
Business Address
-- MARK KEYLOR LMSW
3402 FRANKLIN RD
CALDWELL, ID 83605-6932
Phone number: 208-455-7061
Mailing Address
-- MARK KEYLOR LMSW
11642 W WAGON PASS ST
BOISE, ID 83709-8566
Phone number: 208-982-7177