CEDRIC JOESPH DECORY

BOISE, ID
NPI1619514510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-39243)
Enumeration Date2019-12-10
Last Update Date2019-12-10
Business Address
CEDRIC JOESPH DECORY LMSW
2273 S VISTA AVE STE 190
BOISE, ID 83705-7341
Phone number: 208-343-2737
Mailing Address
CEDRIC JOESPH DECORY LMSW
4724 W FRANKLIN RD
BOISE, ID 83705-1217
Phone number: 208-412-0230