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1194134163
TYE KILLIAN
BOISE, ID
NPI
1194134163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-37070)
Enumeration Date
2014-08-04
Last Update Date
2021-03-22
Business Address
TYE KILLIAN LCSW
890 N COLE RD SUITE B
BOISE, ID 83704-8614
Phone number: 208-322-1026
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Mailing Address
TYE KILLIAN LCSW
890 N COLE RD SUITE B
BOISE, ID 83704-8614
Phone number: 208-322-1026
Copy
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