DAN TADLOCK

BOISE, ID
NPI1124397476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-29379)
Enumeration Date2011-12-15
Last Update Date2025-11-07
Business Address
DAN TADLOCK LCSW
4750 N FIVE MILE RD
BOISE, ID 83713-2715
Phone number: 888-949-4864
Mailing Address
DAN TADLOCK LCSW
3737 W 4100 S
WEST VALLEY CITY, UT 84120-5543
Phone number:
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