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1760908354
DANIELLE NAOMI JOHNSON
BOISE, ID
NPI
1760908354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LCSW-36755)
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
DANIELLE NAOMI JOHNSON LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
DANIELLE NAOMI JOHNSON LCSW
500 W FORT ST # MS 122B
BOISE, ID 83702-4501
Phone number: 208-422-1000
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