TERRY ALAN TIPPERY

BOISE, ID
NPI1255631180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-850)
Enumeration Date2010-10-26
Last Update Date2010-10-26
Business Address
Mr. TERRY ALAN TIPPERY LCSW
2424 BANK DR
BOISE, ID 83705-2565
Phone number: 208-342-3612
Mailing Address
Mr. TERRY ALAN TIPPERY LCSW
2424 BANK DR
BOISE, ID 83705-2565
Phone number: 208-342-3612
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