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 Date2025-01-13
Business Address
SAMUEL CLEMENS LCSW
190 W MAIN ST
KUNA, ID 83634-2702
Phone number: 208-598-8442
Mailing Address
SAMUEL CLEMENS LCSW
PO BOX 203
KUNA, ID 83634-0203
Phone number: 208-598-8442
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