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1023110244
DANIEL JOSEPH MAC DONALD
BOISE, ID
NPI
1023110244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID lcsw #505)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
-- DANIEL JOSEPH MAC DONALD msw, lcsw
500 WEST FORT ST BOISE VAMC
BOISE, ID 83702
Phone number: 208-422-1145
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Mailing Address
-- DANIEL JOSEPH MAC DONALD msw, lcsw
5571 S ULEX PL
BOISE, ID 83716-6926
Phone number: 208-385-7352
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