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1003963638
GARY W LEE
MERIDIAN, ID
NPI
1003963638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW578)
Enumeration Date
2007-01-04
Last Update Date
2016-08-05
Business Address
-- GARY W LEE LCSW
1965 S EAGLE RD STE 140
MERIDIAN, ID 83642-9288
Phone number: 208-957-6514
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Mailing Address
-- GARY W LEE LCSW
1965 S EAGLE RD STE 140
MERIDIAN, ID 83642-9288
Phone number: 208-957-6514
Copy
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