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1871060012
RAYMOND O DYER
BOISE, ID
NPI
1871060012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LMSW-37860)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
RAYMOND O DYER LMSW
10101 W OVERLAND RD
BOISE, ID 83709-1429
Phone number: 208-333-9578
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Mailing Address
RAYMOND O DYER LMSW
10334 W ALLIANCE ST
BOISE, ID 83704-3963
Phone number: 503-809-1107
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