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1013624485
VAUGHN KNAPP
BOISE, ID
NPI
1013624485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-25701)
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
VAUGHN KNAPP LCSW
818 W BRUMBACK ST
BOISE, ID 83702-2824
Phone number: 208-340-0665
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Mailing Address
VAUGHN KNAPP LCSW
818 W BRUMBACK ST
BOISE, ID 83702-2824
Phone number: 208-340-0665
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