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1316714843
RANDAL HALLENBERGER
BOISE, ID
NPI
1316714843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-25776)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
RANDAL HALLENBERGER LSW
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-608-9058
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Mailing Address
RANDAL HALLENBERGER LSW
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-608-9058
Copy
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