JACEY JO MAE LANGSTON

BOISE, ID
NPI1225863384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LSW-42591)
Enumeration Date2024-09-06
Last Update Date2024-09-06
Business Address
JACEY JO MAE LANGSTON LMSW
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-969-8380
Mailing Address
JACEY JO MAE LANGSTON LMSW
148 S COLE RD
BOISE, ID 83709-0932
Phone number:
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