JOHN CARL RANDALL

BOISE, ID
NPI1386906436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-32190)
Enumeration Date2012-06-14
Last Update Date2012-06-14
Business Address
-- JOHN CARL RANDALL LMSW
2273 S VISTA AVE STE 190
BOISE, ID 83705-7341
Phone number: 208-343-2737
Mailing Address
-- JOHN CARL RANDALL LMSW
3132 W IRENE ST
BOISE, ID 83703-5874
Phone number: 315-278-6609
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