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1659856573
IVY CHRISTINE MERRELL
BOISE, ID
NPI
1659856573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LCSW-37690)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
IVY CHRISTINE MERRELL LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
IVY CHRISTINE MERRELL LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number:
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