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1902430028
TRAVIS EMERIZY
BOISE, ID
NPI
1902430028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 36598)
Enumeration Date
2020-02-27
Last Update Date
2020-02-27
Business Address
TRAVIS EMERIZY LMSW
703 S AMERICANA BLVD STE 150
BOISE, ID 83702-4976
Phone number: 208-706-6375
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Mailing Address
TRAVIS EMERIZY LMSW
703 S AMERICANA BLVD STE 150
BOISE, ID 83702-4976
Phone number: 208-706-6375
Copy
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