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1780393959
CASSIDY RAY
BOISE, ID
NPI
1780393959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-37370)
Enumeration Date
2022-11-16
Last Update Date
2023-02-16
Business Address
CASSIDY RAY
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-1940
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Mailing Address
CASSIDY RAY
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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