TED BURGESS

BOISE, ID
NPI1770618712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  SW24566)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- TED BURGESS LCSW
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-3069
Mailing Address
-- TED BURGESS LCSW
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-3069