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1003826405
JOSHUA CHARLES BODE
BOISE, ID
NPI
1003826405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID lmsw-26553)
Enumeration Date
2006-08-08
Last Update Date
2023-06-04
Business Address
Mr. JOSHUA CHARLES BODE LCSW
300 W MAIN ST STE 151
BOISE, ID 83702-7728
Phone number: 208-921-7190
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Mailing Address
Mr. JOSHUA CHARLES BODE LCSW
5647 W LUCKY DR
BOISE, ID 83703-3141
Phone number: 208-921-7190
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