JOHN GREENE

BOISE, ID
NPI1730542820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  31875)
Enumeration Date2016-04-05
Last Update Date2016-04-05
Business Address
Mr. JOHN GREENE LCSW
1720 N WESTGATE DR
BOISE, ID 83704-7164
Phone number: 208-954-0196
Mailing Address
Mr. JOHN GREENE LCSW
2514 N 21ST ST
BOISE, ID 83702-0602
Phone number:
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