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1306576491
IVORY BOSTON
BOISE, ID
NPI
1306576491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 42295)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
IVORY BOSTON LMSW
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320
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Mailing Address
IVORY BOSTON LMSW
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320
Copy
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