Individual
JUSTIN EASTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
22480 DUFF LN, MIDDLETON, ID 83644-6041
(310) 903-6814
Mailing address
10712 W CRUSER DR, BOISE, ID 83709-0209
(310) 903-6814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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