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1528285376
GRANT RICHARD KANE
BOISE, ID
NPI
1528285376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID lcsw63)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. GRANT RICHARD KANE msw
10740 W FAIRVIEW AVE STE 100
BOISE, ID 83713-8050
Phone number: 208-376-0191
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Mailing Address
Mr. GRANT RICHARD KANE msw
8905 WEST CORNWALL DRIVE
BOISE, ID 83704-4310
Phone number: 208-322-7599
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