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1003327610
MACKENZIE BRYANT GARRISON
LEWISTON, ID
NPI
1003327610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 36722)
Enumeration Date
2017-10-23
Last Update Date
2017-10-23
Business Address
MACKENZIE BRYANT GARRISON LBSW
1118 F ST # B
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
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Mailing Address
MACKENZIE BRYANT GARRISON LBSW
1118 F ST # B
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
Copy
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