MIKAYLA JACQUELYN LACKEY

BOISE, ID
NPI1578262184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-03-02
Last Update Date2023-03-02
Business Address
MIKAYLA JACQUELYN LACKEY
3076 N FIVE MILE RD
BOISE, ID 83713-5215
Phone number: 208-252-6531
Mailing Address
MIKAYLA JACQUELYN LACKEY
3076 N FIVE MILE RD
BOISE, ID 83713-5215
Phone number: 208-252-6531
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