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1699412304
ALI SHIELDS
BOISE, ID
NPI
1699412304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-37156)
Enumeration Date
2022-05-14
Last Update Date
2022-05-14
Business Address
ALI SHIELDS LMSW
5685 S SANTA CRUZ WAY
BOISE, ID 83709-5164
Phone number: 208-371-7832
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Mailing Address
ALI SHIELDS LMSW
5685 S SANTA CRUZ WAY
BOISE, ID 83709-5164
Phone number: 208-371-7832
Copy
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