SCOTT STANTLIFF

CALDWELL, ID
NPI1467115428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  8278)
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
SCOTT STANTLIFF
709 DEARBORN ST
CALDWELL, ID 83605-4116
Phone number: 208-376-7083
Mailing Address
SCOTT STANTLIFF
709 DEARBORN ST
CALDWELL, ID 83605-4116
Phone number: 208-376-7083
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