MATT BANNISTER

CALDWELL, ID
NPI1457219842
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
(Licence: ID  2371596)
Enumeration Date2026-01-13
Last Update Date2026-01-13
Business Address
MATT BANNISTER
206 E ELM ST
CALDWELL, ID 83605-4815
Phone number: 208-454-8389
Mailing Address
MATT BANNISTER
1810 TAFT ST
CALDWELL, ID 83605-2156
Phone number: 951-264-6365
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