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1891442935
ALEXI DIMITRIOS FANOPOULOS
BOISE, ID
NPI
1891442935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-41913)
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
Mr. ALEXI DIMITRIOS FANOPOULOS LMSW
3076 N FIVE MILE RD
BOISE, ID 83713-5215
Phone number: 208-376-4999
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Mailing Address
Mr. ALEXI DIMITRIOS FANOPOULOS LMSW
3076 N FIVE MILE RD
BOISE, ID 83713-5215
Phone number: 208-376-4999
Copy
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