NICHOLAS MILLIREN

BOISE, ID
NPI1710481924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  37268)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
NICHOLAS MILLIREN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
NICHOLAS MILLIREN
4672 S WHITMORE WAY
BOISE, ID 83709-3471
Phone number: