DAN TADLOCK

BONNERS FERRY, ID
NPI1124397476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-29379)
Enumeration Date2011-12-15
Last Update Date2026-03-27
Business Address
DAN TADLOCK LCSW
6426 KOOTENAI STREET, SUITE 103
BONNERS FERRY, ID 83805-5005
Phone number: 208-291-1516
Mailing Address
DAN TADLOCK LCSW
PO BOX 1014
BONNERS FERRY, ID 83805-1014
Phone number: 208-255-9460
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