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1962821249
DIANE HAKES
BOISE, ID
NPI
1962821249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-24943)
Enumeration Date
2014-04-15
Last Update Date
2015-08-07
Business Address
-- DIANE HAKES LCSW
315 N ALLUMBAUGH ST
BOISE, ID 83704-9208
Phone number: 208-376-3546
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Mailing Address
-- DIANE HAKES LCSW
4877 LAKES EDGE PL
BOISE, ID 83714-1951
Phone number: 208-954-2871
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