BRIAN EZRA LEWIS

KUNA, ID
NPI1528322583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-32235)
Enumeration Date2012-06-25
Last Update Date2015-01-29
Business Address
-- BRIAN EZRA LEWIS LMSW
13500 S PLEASANT VALLEY RD
KUNA, ID 83634-7341
Phone number: 208-336-0740
Mailing Address
-- BRIAN EZRA LEWIS LMSW
PO BOX 14
BOISE, ID 83707-0014
Phone number: 208-336-0740
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