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1710306386
REBECCA S WISKUS
BOISE, ID
NPI
1710306386
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Former Name
REBECCA S LOTTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW24520)
Enumeration Date
2014-04-10
Last Update Date
2014-04-10
Business Address
-- REBECCA S WISKUS LMSW
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-3161
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Mailing Address
-- REBECCA S WISKUS LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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