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1780046367
TIM JOHNS
BOISE, ID
NPI
1780046367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-35628)
Enumeration Date
2016-03-23
Last Update Date
2016-03-23
Business Address
-- TIM JOHNS LCSW
1720 N WESTGATE DR STE A-1
BOISE, ID 83704-7164
Phone number: 208-334-0880
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Mailing Address
-- TIM JOHNS LCSW
1720 N WESTGATE DR STE A-1
BOISE, ID 83704-7164
Phone number: 208-334-0880
Copy
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