TYLENE K CHANNER

NAMPA, ID
NPI1538492897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-29427)
Enumeration Date2009-09-17
Last Update Date2013-05-10
Business Address
Mrs. TYLENE K CHANNER LCSW
5700 E FRANKLIN RD SUITE 220E
NAMPA, ID 83687-8497
Phone number: 208-936-1097
Mailing Address
Mrs. TYLENE K CHANNER LCSW
2965 E TARPON DR SUITE 150
MERIDIAN, ID 83642-9009
Phone number: 208-287-9420