ERIC DANIELSON

BOISE, ID
NPI1861883266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  33942)
Enumeration Date2015-02-07
Last Update Date2015-02-07
Business Address
-- ERIC DANIELSON
8620 W EMERALD ST STE 150
BOISE, ID 83704-4839
Phone number: 208-305-5261
Mailing Address
-- ERIC DANIELSON
4636 S DENISON AVE
MERIDIAN, ID 83642-9201
Phone number: 208-305-5261