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1710900949
KEVIN P GERAGHTY
BOISE, ID
NPI
1710900949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW -477)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- KEVIN P GERAGHTY LCSW
6140 W EMERALD ST
BOISE, ID 83704-8857
Phone number: 208-367-2556
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Mailing Address
-- KEVIN P GERAGHTY LCSW
6140 W EMERALD ST
BOISE, ID 83704-8857
Phone number: 208-367-2556
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