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1538492897
TYLENE K CHANNER
NAMPA, ID
NPI
1538492897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-29427)
Enumeration Date
2009-09-17
Last Update Date
2013-05-10
Business Address
Mrs. TYLENE K CHANNER LCSW
5700 E FRANKLIN RD SUITE 220E
NAMPA, ID 83687-8497
Phone number: 208-936-1097
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Mailing Address
Mrs. TYLENE K CHANNER LCSW
2965 E TARPON DR SUITE 150
MERIDIAN, ID 83642-9009
Phone number: 208-287-9420
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