ERICA LYSETTE CLEMENS

BOISE, ID
NPI1134648512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-36544)
Enumeration Date2017-09-16
Last Update Date2017-09-16
Business Address
ERICA LYSETTE CLEMENS
2995 N COLE RD STE 115
BOISE, ID 83704-5965
Phone number: 208-576-6464
Mailing Address
ERICA LYSETTE CLEMENS
7560 ARLINGTON DR
NAMPA, ID 83687-8350
Phone number:
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