COLE IVANCIC

MERIDIAN, ID
NPI1942948112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  8911012)
Enumeration Date2022-05-26
Last Update Date2025-10-15
Business Address
COLE IVANCIC LCSW
3709 N LOCUST GROVE RD STE 100
MERIDIAN, ID 83646-5924
Phone number: 208-860-2598
Mailing Address
COLE IVANCIC LCSW
3709 N LOCUST GROVE RD STE 100
MERIDIAN, ID 83646-5924
Phone number: 208-860-2598
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