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1194747022
STANLEY A. ZUCKERMAN
BOISE, ID
NPI
1194747022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW1219)
Enumeration Date
2006-07-23
Last Update Date
2020-07-22
Business Address
MR. STANLEY A. ZUCKERMAN MSW
1408 W HAYS STREET
BOISE, ID 83702-5028
Phone number: 208-385-9200
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Mailing Address
MR. STANLEY A. ZUCKERMAN MSW
1408 W HAYS STREET
BOISE, ID 83702-5028
Phone number: 208-385-9200
Copy
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