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1043480692
JAN EILENE SHAUGHNESSY
BOISE, ID
NPI
1043480692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW27207)
Enumeration Date
2008-03-10
Last Update Date
2012-05-04
Business Address
Ms. JAN EILENE SHAUGHNESSY LCSW
226 S COLE RD
BOISE, ID 83709-0934
Phone number: 208-376-3677
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Mailing Address
Ms. JAN EILENE SHAUGHNESSY LCSW
226 S. COLE RD
BOISE, ID 83709
Phone number: 208-376-3677
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