CARTER ALEXANDER TANGEN

BOISE, ID
NPI1770376311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  2171269)
Enumeration Date2025-05-27
Last Update Date2025-05-27
Business Address
CARTER ALEXANDER TANGEN LMSW
1276 W RIVER ST
BOISE, ID 83702-7066
Phone number: 208-338-4699
Mailing Address
CARTER ALEXANDER TANGEN LMSW
1117 S DALE ST
BOISE, ID 83706-7193
Phone number: 208-440-2426