RANDALL M. PARKER

BLACKFOOT, ID
NPI1609221308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LMSW-40349)
Enumeration Date2016-05-01
Last Update Date2023-03-02
Business Address
MR. RANDALL M. PARKER LMSW, CADC
495 EMERALD AVE
BLACKFOOT, ID 83221-3968
Phone number: 208-932-4493
Mailing Address
MR. RANDALL M. PARKER LMSW, CADC
685 1ST ST
IDAHO FALLS, ID 83401-4003
Phone number: 208-681-2208
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