SAMONG SOM

BOISE, ID
NPI1487076758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-33472)
Enumeration Date2014-01-06
Last Update Date2018-10-16
Business Address
SAMONG SOM LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
SAMONG SOM LCSW
1856 W LAKE POINTE CT
NAMPA, ID 83651-1419
Phone number: 208-351-0046
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