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TERRY SHAKE

Social Worker

NPI: 1538791181Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

11416(ID)

Social Worker

Code: 104100000X

33482(ID)

Contact & Hours

Address
9196 W BARNES DR
BOISE, ID 83709

Quick Facts

NPI
1538791181
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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