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1356627954
ANNIE GOITEIN PRINCE
BOISE, ID
NPI
1356627954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-33724)
Enumeration Date
2011-10-26
Last Update Date
2014-04-09
Business Address
Mrs. ANNIE GOITEIN PRINCE LCSW
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-5095
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Mailing Address
Mrs. ANNIE GOITEIN PRINCE LCSW
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-412-4192
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