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1033537626
DEEMARLA TAVARES
COEUR D ALENE, ID
NPI
1033537626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-30760)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
-- DEEMARLA TAVARES LMSW
2201 IRONWOOD PL
COEUR D ALENE, ID 83814-2670
Phone number: 208-769-4222
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Mailing Address
-- DEEMARLA TAVARES LMSW
2201 IRONWOOD PL
COEUR D ALENE, ID 83814-2670
Phone number: 208-769-4222
Copy
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