LANA LYN TADLOCK

BOISE, ID
NPI1134581101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW35170)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- LANA LYN TADLOCK LCSW
1720 N WESTGATE DR # A-1
BOISE, ID 83704-7164
Phone number: 208-334-0833
Mailing Address
-- LANA LYN TADLOCK LCSW
1720 N WESTGATE DR # A-1
BOISE, ID 83704-7164
Phone number: 208-334-0833
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