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1285141119
MADDIE LIDDIARD
MERIDIAN, ID
NPI
1285141119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 36771)
Enumeration Date
2017-12-30
Last Update Date
2017-12-30
Business Address
MADDIE LIDDIARD LMSW
1859 S TOPAZ WAY STE 100
MERIDIAN, ID 83642-4401
Phone number: 208-209-2432
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Mailing Address
MADDIE LIDDIARD LMSW
175 E HAWTHORN PKWY STE 235
VERNON HILLS, IL 60061-1454
Phone number: 847-737-8768
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