KEVIN P GERAGHTY

BOISE, ID
NPI1710900949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW -477)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- KEVIN P GERAGHTY LCSW
6140 W EMERALD ST
BOISE, ID 83704-8857
Phone number: 208-367-2556
Mailing Address
-- KEVIN P GERAGHTY LCSW
6140 W EMERALD ST
BOISE, ID 83704-8857
Phone number: 208-367-2556
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