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1407315013
JOHN DAVIS
BOISE, ID
NPI
1407315013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-35378)
Enumeration Date
2019-03-14
Last Update Date
2019-03-14
Business Address
Mr. JOHN DAVIS LMSW
1720 N WESTGATE DR STE A-1
BOISE, ID 83704-7164
Phone number: 208-334-0874
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Mailing Address
Mr. JOHN DAVIS LMSW
1720 N WESTGATE DR STE A-1
BOISE, ID 83704-7164
Phone number: 208-334-0874
Copy
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