SAMANTHA GRESHAM

BOISE, ID
NPI1326779810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-42355)
Enumeration Date2022-06-23
Last Update Date2022-06-23
Business Address
SAMANTHA GRESHAM LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2721
Mailing Address
SAMANTHA GRESHAM LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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