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1801808811
MARK ANTHONY HEILMAN
BOISE, ID
NPI
1801808811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-354)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Mr. MARK ANTHONY HEILMAN LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1360
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Mailing Address
Mr. MARK ANTHONY HEILMAN LCSW
11001 RUNWAY DR
BOISE, ID 83714
Phone number: 208-938-1426
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