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1104272533
MARY FIELD
BOISE, ID
NPI
1104272533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-34376)
Enumeration Date
2016-05-04
Last Update Date
2021-11-23
Business Address
Ms. MARY FIELD LCSW
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155
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Mailing Address
Ms. MARY FIELD LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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