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1841670635
CLAY S TUCK
BOISE, ID
NPI
1841670635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 32194)
Enumeration Date
2015-06-05
Last Update Date
2015-06-05
Business Address
Mr. CLAY S TUCK LMSW
4477 W EMERALD ST
BOISE, ID 83706-2000
Phone number: 208-376-9831
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Mailing Address
Mr. CLAY S TUCK LMSW
4477 W EMERALD ST
BOISE, ID 83706-2000
Phone number: 208-376-9831
Copy
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