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1003277039
ANNA LOUISE LAWRENCE
PONDERAY, ID
NPI
1003277039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW26759)
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
-- ANNA LOUISE LAWRENCE LCSW
207 LARKSPUR ST
PONDERAY, ID 83852-5011
Phone number: 208-255-3314
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Mailing Address
-- ANNA LOUISE LAWRENCE LCSW
8120 N AINSWORTH DR
HAYDEN, ID 83835-7987
Phone number: 208-277-5114
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