KEN MACANKA

BOISE, ID
NPI1598940520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  01291963)
Enumeration Date2008-01-09
Last Update Date2023-08-23
Business Address
KEN MACANKA
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
Mailing Address
KEN MACANKA
419 CENTER RD
EASTON, CT 06612-1649
Phone number:
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