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1194044149
BRENDA TENNANT
BOISE, ID
NPI
1194044149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW32590)
Enumeration Date
2010-05-28
Last Update Date
2021-05-18
Business Address
BRENDA TENNANT LCSW
820 S LATAH ST STE 106
BOISE, ID 83705-2255
Phone number: 208-572-2883
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Mailing Address
BRENDA TENNANT LCSW
12 CONDOR CIR
BOISE, ID 83716-3360
Phone number: 208-870-4274
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