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1497716138
ALISSA D LYON
BOISE, ID
NPI
1497716138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW25640)
Enumeration Date
2006-03-31
Last Update Date
2012-10-04
Business Address
-- ALISSA D LYON LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
-- ALISSA D LYON LCSW
500 W. FORT ST. VA MEDICAL CENTER (B116)
BOISE, ID 83702-4598
Phone number: 208-422-1000
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