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1205322310
BRIAN LEE COLLINS
BOISE, ID
NPI
1205322310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-37414)
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
BRIAN LEE COLLINS LMSW
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-345-1170
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Mailing Address
BRIAN LEE COLLINS LMSW
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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