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1316513542
LEE PENCHANSKY
BOISE, ID
NPI
1316513542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 27567)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
LEE PENCHANSKY LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
LEE PENCHANSKY LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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