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1043620115
BRADEN CLARK MCDONALD
TWIN FALLS, ID
NPI
1043620115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID 8729371-3502)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
-- BRADEN CLARK MCDONALD LMSW
361 2ND AVE WEST
TWIN FALLS, ID 83301
Phone number: 208-308-7533
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Mailing Address
-- BRADEN CLARK MCDONALD LMSW
361 2ND AVE W 361 2ND AVE WEST
TWIN FALLS, ID 83301-5804
Phone number: 208-308-7533
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