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1164431029
PATRICIA A. MOORE
BOISE, ID
NPI
1164431029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-29393)
Enumeration Date
2006-08-07
Last Update Date
2011-01-10
Business Address
Ms. PATRICIA A. MOORE LCSW
520 N HAINES ST
BOISE, ID 83712-8013
Phone number: 208-338-0758
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Mailing Address
Ms. PATRICIA A. MOORE LCSW
520 N HAINES ST
BOISE, ID 83712-8013
Phone number: 208-338-0758
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