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1467531996
S LORI JOHNSON
BOISE, ID
NPI
1467531996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID CSW1147)
Enumeration Date
2006-11-03
Last Update Date
2016-04-23
Business Address
-- S LORI JOHNSON LCSW
10112 W OVERLAND RD
BOISE, ID 83709-1428
Phone number: 208-780-3900
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Mailing Address
-- S LORI JOHNSON LCSW
10112 W OVERLAND RD
BOISE, ID 83709-1428
Phone number: 208-780-3900
Copy
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