PHILIP R SHERIDAN

BOISE, ID
NPI1619993581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW24911)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
-- PHILIP R SHERIDAN LCSW
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-3069
Mailing Address
-- PHILIP R SHERIDAN LCSW
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-3069
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