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1831462001
BRADLEY MIDGETT
BOISE, ID
NPI
1831462001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW30120)
Enumeration Date
2012-02-17
Last Update Date
2022-01-25
Business Address
Mr. BRADLEY MIDGETT LCSW
8590 W FAIRVIEW AVE STE A
BOISE, ID 83704-8320
Phone number: 208-672-0260
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Mailing Address
Mr. BRADLEY MIDGETT LCSW
8590 W FAIRVIEW AVE STE A
BOISE, ID 83704-8320
Phone number: 208-559-3319
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