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1154926814
TIMOTHY J WALSH
BOISE, ID
NPI
1154926814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-33887)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
TIMOTHY J WALSH
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-1509
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Mailing Address
TIMOTHY J WALSH
8413 W PEMBROOK DR
BOISE, ID 83704-4354
Phone number: 208-250-1828
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