LARA N MIKO

BOISE, ID
NPI1477953503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LCSW43846)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW 33502)
Enumeration Date2014-08-26
Last Update Date2024-03-25
Business Address
LARA N MIKO LCSW
417 S 6TH ST
BOISE, ID 83702-7632
Phone number: 208-577-4465
Mailing Address
LARA N MIKO LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: