KIRK LYNN MACE

REXBURG, ID
NPI1134242712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-2660)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Mr. KIRK LYNN MACE MSW
218 DIVIDEND DR STE 3
REXBURG, ID 83440-3510
Phone number: 208-359-9683
Mailing Address
Mr. KIRK LYNN MACE MSW
679 W STONEBRIDGE
REXBURG, ID 83440-5193
Phone number: 208-656-0409
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