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1346743358
ASHLEY METRONUS TRACE
MERIDIAN, ID
NPI
1346743358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-45032)
Enumeration Date
2018-03-15
Last Update Date
2024-05-10
Business Address
ASHLEY METRONUS TRACE LCSW
3330 E LOUISE DR STE 400
MERIDIAN, ID 83642-5123
Phone number: 208-513-3451
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Mailing Address
ASHLEY METRONUS TRACE LCSW
1920 S MANITOU AVE
BOISE, ID 83706-4148
Phone number: 503-280-1385
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