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1588958482
ANGELIQUE DE NOFA
BOISE, ID
NPI
1588958482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW - 34097)
Enumeration Date
2011-06-08
Last Update Date
2015-01-27
Business Address
-- ANGELIQUE DE NOFA LCSW
5985 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-853-0071
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Mailing Address
-- ANGELIQUE DE NOFA LCSW
5985 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-853-0071
Copy
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