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1013683408
LIZA PAIGE HANSEN
IDAHO FALLS, ID
NPI
1013683408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-40908)
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
LIZA PAIGE HANSEN LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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Mailing Address
LIZA PAIGE HANSEN LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Copy
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