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1679935175
SUSIE KEETH
BOISE, ID
NPI
1679935175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW1411)
Enumeration Date
2016-03-23
Last Update Date
2016-03-23
Business Address
-- SUSIE KEETH LSW
1720 N WESTGATE DR STE A
BOISE, ID 83704-7164
Phone number: 208-334-0979
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Mailing Address
-- SUSIE KEETH LSW
1720 N WESTGATE DR STE A
BOISE, ID 83704-7164
Phone number: 208-334-0979
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