TRACIE ANN BOLEN

CALDWELL, ID
NPI1487179172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-36749)
Enumeration Date2017-08-03
Last Update Date2017-08-03
Business Address
TRACIE ANN BOLEN LMSW
314 BADIOLA ST
CALDWELL, ID 83605-4389
Phone number: 208-454-8389
Mailing Address
TRACIE ANN BOLEN LMSW
3506 S BO DANIEL PL
NAMPA, ID 83687-9038
Phone number: 208-284-4269