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1639605694
JOSHUA RANDALL GRADE
MERIDIAN, ID
NPI
1639605694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW-40892)
Enumeration Date
2017-05-11
Last Update Date
2024-07-29
Business Address
JOSHUA RANDALL GRADE LCSW
1322 W VERBENA DR
MERIDIAN, ID 83642-1238
Phone number: 208-559-6197
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Mailing Address
JOSHUA RANDALL GRADE LCSW
1322 W VERBENA DR
MERIDIAN, ID 83642-1238
Phone number: 208-559-6197
Copy
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