LALAINYA S. BACON

BOISE, ID
NPI1407107402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-25925)
Enumeration Date2012-10-01
Last Update Date2012-10-01
Business Address
-- LALAINYA S. BACON LMSW
500 W FORT ST B114
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
-- LALAINYA S. BACON LMSW
500 W FORT ST B114
BOISE, ID 83702-4501
Phone number: 208-422-1000
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