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1881309748
KATELYN MARIE DERRICK
BOISE, ID
NPI
1881309748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
KATELYN MARIE DERRICK LMSW
8950 W EMERALD ST STE 178
BOISE, ID 83704-8296
Phone number: 208-376-7083
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Mailing Address
KATELYN MARIE DERRICK LMSW
8950 W EMERALD ST STE 178
BOISE, ID 83704-8296
Phone number:
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