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1023870359
BRENDA R. FULTON
NAMPA, ID
NPI
1023870359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-44566)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
BRENDA R. FULTON LMSW
1305 3RD ST S
NAMPA, ID 83651-3903
Phone number: 208-475-5700
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Mailing Address
BRENDA R. FULTON LMSW
750 S WESTON CREEK LOOP
NAMPA, ID 83686-5655
Phone number: 208-992-6530
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