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1023527181
PAULA MARIE GREEN
IDAHO FALLS, ID
NPI
1023527181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-37036)
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
PAULA MARIE GREEN LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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Mailing Address
PAULA MARIE GREEN LMSW
26 N 3167 E
IDAHO FALLS, ID 83402-5663
Phone number: 208-360-3344
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