Terry Alan Tippery LCSW

NPI 1255631180 - Social Worker - 1041C0700X

NPI Details
NPI 1255631180
Gender Male
Enumeration Date 10/26/2010
Last Updated 10/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2424 BANK DR
BOISE ID, 83705-2565, US
Phone (208) 342-3612
Fax (208) 342-0327
Business Location
2424 BANK DR
BOISE ID, 83705-2565, US
Phone (208) 342-3612
Fax (208) 342-0327
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW-850
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According to our database, Mr. Terry Alan Tippery LCSW NPI is 1255631180, taxonomy code is 1041C0700X and license number is LCSW-850, license state is located at Idaho. Terry Alan Tippery LCSW physically located at 2424 Bank Dr, Boise ID, 83705-2565. NPI Number Terry Alan Tippery LCSW has the Individual type.

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1255631180 NPI number is provided on an as is basis without warranty of any kind. 1255631180 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Alan Tippery LCSW are for informational purposes only.