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1043203789
DEBRA STREET
LEWISTON, ID
NPI
1043203789
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Other Name
DEB STREET
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LCSW-520)
Enumeration Date
2005-08-29
Last Update Date
2013-11-06
Business Address
Mrs. DEBRA STREET M.S.W.
0309 2ND ST
LEWISTON, ID 83501-2163
Phone number: 208-746-0137
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Mailing Address
Mrs. DEBRA STREET M.S.W.
0309 2ND ST
LEWISTON, ID 83501-2163
Phone number: 208-746-0137
Copy
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