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1497974174
LORI THROCKMORTON
BOISE, ID
NPI
1497974174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-25100)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
Ms. LORI THROCKMORTON LCSW
10740 W FAIRVIEW AVE SUITE 100
BOISE, ID 83713-7926
Phone number: 208-376-0191
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Mailing Address
Ms. LORI THROCKMORTON LCSW
13647 W ANNABROOK DR
BOISE, ID 83713-1627
Phone number: 208-412-8048
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