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1952925604
TYLAR SWANSON
NAMPA, ID
NPI
1952925604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID 39664)
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
Miss TYLAR SWANSON LMSW
1031 W SANETTA ST
NAMPA, ID 83651-5047
Phone number: 208-466-7443
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Mailing Address
Miss TYLAR SWANSON LMSW
305 S ELM ST APT 210
BOISE, ID 83712-7815
Phone number: 319-931-2358
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