SAMUEL CLEMENS

KUNA, ID
NPI1487267852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LMSW-39917)
Enumeration Date2020-08-26
Last Update Date2020-09-09
Business Address
SAMUEL CLEMENS LMSW
145 E DEER FLAT RD
KUNA, ID 83634-1323
Phone number: 208-922-9001
Mailing Address
SAMUEL CLEMENS LMSW
145 E DEER FLAT RD
KUNA, ID 83634-1323
Phone number: 208-922-9001
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