NICOLE LANG

BOISE, ID
NPI1417660044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-29300)
Enumeration Date2022-12-28
Last Update Date2022-12-28
Business Address
NICOLE LANG
4477 W EMERALD ST STE A150
BOISE, ID 83706-2027
Phone number: 208-261-2377
Mailing Address
NICOLE LANG
6510 W ROBERTSON DR
BOISE, ID 83709-2177
Phone number: 208-261-2377
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