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1316020779
THERESA LEA NIEDERKRUGER
BOISE, ID
NPI
1316020779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-857)
Enumeration Date
2006-10-21
Last Update Date
2012-04-24
Business Address
-- THERESA LEA NIEDERKRUGER lcsw
3919 HOOVER ST
BOISE, ID 83705-1433
Phone number: 208-371-2040
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Mailing Address
-- THERESA LEA NIEDERKRUGER lcsw
3919 HOOVER ST
BOISE, ID 83705-1433
Phone number: 208-371-2040
Copy
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