WILLIAM BRADFORD LANE

POCATELLO, ID
NPI1124542147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LPC-6550)
Enumeration Date2017-08-01
Last Update Date2022-07-21
Business Address
Mr. WILLIAM BRADFORD LANE LPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
Mailing Address
Mr. WILLIAM BRADFORD LANE LPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
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