TANYA NICHOLS

BOISE, ID
NPI1699429910
Other NameTANYA S WATFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY-203556)
Enumeration Date2022-02-06
Last Update Date2022-02-06
Business Address
-- TANYA NICHOLS
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
-- TANYA NICHOLS
1018 N WEBB WAY UNIT I104
MERIDIAN, ID 83642-8369
Phone number: 337-501-7341
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