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1356038723
AUTUMN MANTEY
BOISE, ID
NPI
1356038723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
AUTUMN MANTEY LMSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
AUTUMN MANTEY LMSW
16589 DAWSON AVE
CALDWELL, ID 83607-4517
Phone number:
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