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1619514510
CEDRIC JOESPH DECORY
BOISE, ID
NPI
1619514510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-39243)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
CEDRIC JOESPH DECORY LMSW
2273 S VISTA AVE STE 190
BOISE, ID 83705-7341
Phone number: 208-343-2737
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Mailing Address
CEDRIC JOESPH DECORY LMSW
4724 W FRANKLIN RD
BOISE, ID 83705-1217
Phone number: 208-412-0230
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