KENT THIBAULT

JEROME, ID
NPI1639454770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-28571)
Enumeration Date2011-10-20
Last Update Date2011-10-20
Business Address
-- KENT THIBAULT LMSW, CADC
251 N 300 E
JEROME, ID 83338-5451
Phone number: 208-324-8284
Mailing Address
-- KENT THIBAULT LMSW, CADC
251 N 300 E
JEROME, ID 83338-5451
Phone number: 208-324-8284
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