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1043674393
PATRICIA GREEN
BOISE, ID
NPI
1043674393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW24321)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- PATRICIA GREEN LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-284-2462
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Mailing Address
-- PATRICIA GREEN LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-284-2462
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