LYDIA RUTH BLACKWELL

BOISE, ID
NPI1568999092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2017-05-15
Last Update Date2023-12-05
Business Address
LYDIA RUTH BLACKWELL
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-1595
Mailing Address
LYDIA RUTH BLACKWELL
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-5095