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1871087635
TARA ROCHELLE LYON
BOISE, ID
NPI
1871087635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-44073)
Enumeration Date
2018-06-15
Last Update Date
2023-08-30
Business Address
TARA ROCHELLE LYON LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2721
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Mailing Address
TARA ROCHELLE LYON LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2721
Copy
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