DYLAN MARSHALL LANDEEN

IDAHO FALLS, ID
NPI1538880224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-42552)
Enumeration Date2022-09-09
Last Update Date2022-09-09
Business Address
DYLAN MARSHALL LANDEEN LCSW
1810 W BROADWAY ST
IDAHO FALLS, ID 83402-5072
Phone number: 208-206-7613
Mailing Address
DYLAN MARSHALL LANDEEN LCSW
2300 S CHARLOTTE DR
IDAHO FALLS, ID 83402-5675
Phone number: 208-206-7613
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