LANCE MAURICE KINGLAND

NAMPA, ID
NPI1669822441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  LMSW-35788)
Enumeration Date2016-06-13
Last Update Date2016-06-13
Business Address
Mr. LANCE MAURICE KINGLAND LMSW
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-465-5433
Mailing Address
Mr. LANCE MAURICE KINGLAND LMSW
1007 N 12TH ST APT 3
BOISE, ID 83702-4157
Phone number: 208-866-8703
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