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1578050076
THOMAS J CHILDERS-SCOTT
BOISE, ID
NPI
1578050076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-35083)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
Mr. THOMAS J CHILDERS-SCOTT LMSW
7941 W RIFLEMAN ST
BOISE, ID 83704-9001
Phone number: 208-895-7950
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Mailing Address
Mr. THOMAS J CHILDERS-SCOTT LMSW
10420 W HUNTWOOD DR
BOISE, ID 83709-7125
Phone number: 208-850-8410
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