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1003509720
SHALYCE ANDERSON
TWIN FALLS, ID
NPI
1003509720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-42603)
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
SHALYCE ANDERSON
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-670-5214
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Mailing Address
SHALYCE ANDERSON
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number:
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