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1013551613
KATHLEEN WINDOM
BOISE, ID
NPI
1013551613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW24628)
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
KATHLEEN WINDOM LCSW, MSW
5985 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-853-0071
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Mailing Address
KATHLEEN WINDOM LCSW, MSW
5985 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-853-0071
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