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1255631180
TERRY ALAN TIPPERY
BOISE, ID
NPI
1255631180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-850)
Enumeration Date
2010-10-26
Last Update Date
2010-10-26
Business Address
Mr. TERRY ALAN TIPPERY LCSW
2424 BANK DR
BOISE, ID 83705-2565
Phone number: 208-342-3612
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Mailing Address
Mr. TERRY ALAN TIPPERY LCSW
2424 BANK DR
BOISE, ID 83705-2565
Phone number: 208-342-3612
Copy
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