JERRY DUANE LILLY

EAGLE, ID
NPI1124390786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC-6990)
Enumeration Date2012-01-29
Last Update Date2023-12-06
Business Address
JERRY DUANE LILLY Ed.S
172 S ACADEMY AVE STE 160
EAGLE, ID 83616-6564
Phone number: 208-315-4855
Mailing Address
JERRY DUANE LILLY Ed.S
12073 N HUMPHREYS WAY
BOISE, ID 83714-9343
Phone number: 208-315-4855
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