Individual
MR. KYLE GREGG YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 N WESTGATE DR STE A-1, BOISE, ID 83704-7164
(208) 332-7990
Mailing address
1720 N WESTGATE DR STE A-1, BOISE, ID 83704-7164
(208) 332-7990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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