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1073164638
LYSANDRA C SCOTT
MERIDIAN, ID
NPI
1073164638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 38659)
Enumeration Date
2019-09-25
Last Update Date
2019-09-25
Business Address
LYSANDRA C SCOTT LCSW
3023 E COPPER POINT DR STE 108
MERIDIAN, ID 83642-9290
Phone number: 208-914-8924
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Mailing Address
LYSANDRA C SCOTT LCSW
3004 W KOOTENAI ST
BOISE, ID 83705-2327
Phone number:
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