ASHLEY METRONUS TRACE

MERIDIAN, ID
NPI1346743358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-45032)
Enumeration Date2018-03-15
Last Update Date2024-05-10
Business Address
ASHLEY METRONUS TRACE LCSW
3330 E LOUISE DR STE 400
MERIDIAN, ID 83642-5123
Phone number: 208-513-3451
Mailing Address
ASHLEY METRONUS TRACE LCSW
1920 S MANITOU AVE
BOISE, ID 83706-4148
Phone number: 503-280-1385
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