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1295578821
HEATHER FOUNTAINE
BOISE, ID
NPI
1295578821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-45344)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
HEATHER FOUNTAINE LMSW
1070 N CURTIS RD
BOISE, ID 83706-1238
Phone number: 208-392-1317
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Mailing Address
HEATHER FOUNTAINE LMSW
1070 N CURTIS RD
BOISE, ID 83706-1238
Phone number: 208-392-1317
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