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1770759284
MICHAEL S MCCOY
BOISE, ID
NPI
1770759284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW 26787, CADC 107)
Enumeration Date
2008-05-05
Last Update Date
2011-02-16
Business Address
Mr. MICHAEL S MCCOY L.M.S.W., CADC
5440 W FRANKLIN RD STE 101
BOISE, ID 83705-1079
Phone number: 208-336-9076
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Mailing Address
Mr. MICHAEL S MCCOY L.M.S.W., CADC
5440 W FRANKLIN RD STE 101
BOISE, ID 83705-1079
Phone number: 208-336-9076
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