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1407518343
MAKALA A KNUTSON
BOISE, ID
NPI
1407518343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-41134)
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
MAKALA A KNUTSON LCSW
6565 W EMERALD ST
BOISE, ID 83704-8737
Phone number: 208-514-2510
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Mailing Address
MAKALA A KNUTSON LCSW
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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