RANDAL HALLENBERGER

BOISE, ID
NPI1316714843
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-25776)
Enumeration Date2023-12-05
Last Update Date2023-12-05
Business Address
RANDAL HALLENBERGER LSW
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-608-9058
Mailing Address
RANDAL HALLENBERGER LSW
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-608-9058