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1255822045
KATHERINE LORIE RICKEN
BOISE, ID
NPI
1255822045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-37293)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
KATHERINE LORIE RICKEN LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
KATHERINE LORIE RICKEN LMSW
6006 W PORT LN APT 102
BOISE, ID 83703-4896
Phone number: 208-949-6220
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