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1144511940
DIANA GUTIERREZ
BOISE, ID
NPI
1144511940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW29189)
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
Mrs. DIANA GUTIERREZ Licensed Clinical So
720 W. WASHINGTON
BOISE, ID 83702
Phone number: 208-343-3688
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Mailing Address
Mrs. DIANA GUTIERREZ Licensed Clinical So
720 W. WASHINGTON
BOISE, ID 83702
Phone number: 208-343-3688
Copy
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