BEN LAZARUS FOX

BLACKFOOT, ID
NPI1326670845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-02-12
Last Update Date2020-02-12
Business Address
BEN LAZARUS FOX LMSW
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
Mailing Address
BEN LAZARUS FOX LMSW
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number:
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