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1336261452
CHAD DELOY ANDERSON
COEUR D ALENE, ID
NPI
1336261452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-26946)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- CHAD DELOY ANDERSON LMSW, MAC
3520 N 15TH ST APT C1
COEUR D ALENE, ID 83815-6629
Phone number: 208-686-1449
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Mailing Address
-- CHAD DELOY ANDERSON LMSW, MAC
1115 B ST
PLUMMER, ID 83851
Phone number: 208-686-1449
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