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1649620105
ELIZABETH KAY GOUGH
BOISE, ID
NPI
1649620105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-35822)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- ELIZABETH KAY GOUGH LMSW
3324 W ELDER ST
BOISE, ID 83705-4713
Phone number: 208-577-1102
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Mailing Address
-- ELIZABETH KAY GOUGH LMSW
3324 W ELDER ST
BOISE, ID 83705-4713
Phone number: 208-577-1102
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