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1568999092
LYDIA RUTH BLACKWELL
BOISE, ID
NPI
1568999092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-05-15
Last Update Date
2023-12-05
Business Address
LYDIA RUTH BLACKWELL
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-1595
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Mailing Address
LYDIA RUTH BLACKWELL
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-5095
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