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1710551767
JULIANA LAKE
BOISE, ID
NPI
1710551767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-40520)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
JULIANA LAKE LMSW
1806 W EMERALD ST. SUITE 130
BOISE, ID 83704
Phone number: 208-600-2184
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Mailing Address
JULIANA LAKE LMSW
1806 W EMERALD ST. SUITE 130
BOISE, ID 83704
Phone number: 208-600-2184
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