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1164270039
ROSHAHARRA DANIEL FELL
NAMPA, ID
NPI
1164270039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-30854)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
ROSHAHARRA DANIEL FELL LCSW
1125 E HAWAII AVE
NAMPA, ID 83686-6210
Phone number: 208-475-3858
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Mailing Address
ROSHAHARRA DANIEL FELL LCSW
4427 W ALPINE ST
BOISE, ID 83705-1330
Phone number: 208-283-6817
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