JOSHUA RANDALL GRADE

MERIDIAN, ID
NPI1639605694
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-40892)
Enumeration Date2017-05-11
Last Update Date2024-07-29
Business Address
JOSHUA RANDALL GRADE LCSW
1322 W VERBENA DR
MERIDIAN, ID 83642-1238
Phone number: 208-559-6197
Mailing Address
JOSHUA RANDALL GRADE LCSW
1322 W VERBENA DR
MERIDIAN, ID 83642-1238
Phone number: 208-559-6197
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