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1285773879
WILLIAM BLAIR
EAGLE, ID
NPI
1285773879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW10)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
-- WILLIAM BLAIR LCSW
1032 S BRIDGE WAY PL SUITE 100
EAGLE, ID 83616-6099
Phone number: 208-246-0123
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Mailing Address
-- WILLIAM BLAIR LCSW
1032 S BRIDGE WAY PL SUITE 100
EAGLE, ID 83616-6099
Phone number: 208-246-0123
Copy
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