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1902526999
EMILY A BALLANTYNE
BOISE, ID
NPI
1902526999
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Former Name
EMILY A GALEGO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 42611)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
EMILY A BALLANTYNE LMSW
11513 W FAIRVIEW AVE STE 105
BOISE, ID 83713-7887
Phone number: 209-908-7882
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Mailing Address
EMILY A BALLANTYNE LMSW
11513 W FAIRVIEW AVE STE 105
BOISE, ID 83713-7887
Phone number: 208-908-7882
Copy
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