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1730279811
DENNIS ORR NIELSEN
BOISE, ID
NPI
1730279811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW 85)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Mr. DENNIS ORR NIELSEN LCSW
10740 W FAIRVIEW AVE SUITE 100
BOISE, ID 83713-7926
Phone number: 208-376-0191
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Mailing Address
Mr. DENNIS ORR NIELSEN LCSW
4107 NORMANDIE DR
BOISE, ID 83705-4736
Phone number: 208-345-1309
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