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1124773601
AVERY BOLTON
BOISE, ID
NPI
1124773601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-41698)
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
AVERY BOLTON LMSW
417 S 6TH ST
BOISE, ID 83702-7632
Phone number: 208-577-4460
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Mailing Address
AVERY BOLTON LMSW
2630 S GATEWOOD LN
BOISE, ID 83709-8576
Phone number: 208-941-1966
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