KEVIN R PETERMAN

BOISE, ID
NPI1366163792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-39511)
Enumeration Date2022-09-05
Last Update Date2022-09-05
Business Address
KEVIN R PETERMAN LCSW
578 S GAMAY LN
BOISE, ID 83709-1092
Phone number: 208-982-7254
Mailing Address
KEVIN R PETERMAN LCSW
578 S GAMAY LN
BOISE, ID 83709-1092
Phone number: 208-982-7254
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