TIMOTHY J COLLIAS

BOISE, ID
NPI1376766378
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LSW-200)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- TIMOTHY J COLLIAS M.A.
1471 SHORELINE DR SUITE 119
BOISE, ID 83702-6879
Phone number: 208-345-2630
Mailing Address
-- TIMOTHY J COLLIAS M.A.
1471 SHORELINE DR SUITE 119
BOISE, ID 83702-6879
Phone number: 208-345-2630
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