TYE KILLIAN

BOISE, ID
NPI1194134163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-37070)
Enumeration Date2014-08-04
Last Update Date2021-03-22
Business Address
TYE KILLIAN LCSW
890 N COLE RD SUITE B
BOISE, ID 83704-8614
Phone number: 208-322-1026
Mailing Address
TYE KILLIAN LCSW
890 N COLE RD SUITE B
BOISE, ID 83704-8614
Phone number: 208-322-1026
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