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1558994558
TASHA IRENE LUNDQUIST
BOISE, ID
NPI
1558994558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID 38444)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
TASHA IRENE LUNDQUIST LMSW
1475 S LATAH ST
BOISE, ID 83705-2920
Phone number: 208-600-2502
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Mailing Address
TASHA IRENE LUNDQUIST LMSW
1475 S LATAH ST
BOISE, ID 83705-2920
Phone number: 208-600-2502
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