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1205213857
BRANDON MCINTOSH
LEWISTON, ID
NPI
1205213857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-35523)
Enumeration Date
2015-05-04
Last Update Date
2023-07-19
Business Address
BRANDON MCINTOSH LCSW
609 BRYDEN AVE STE B
LEWISTON, ID 83501-5193
Phone number: 208-413-9973
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Mailing Address
BRANDON MCINTOSH LCSW
523 1/2 MAIN ST STE 7
LEWISTON, ID 83501-1870
Phone number: 208-413-9973
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