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1053989947
ALISON NICOLE RIDER
POCATELLO, ID
NPI
1053989947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-40932)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
ALISON NICOLE RIDER LMSW
109 N ARTHUR AVE STE 203
POCATELLO, ID 83204-3105
Phone number: 208-234-4673
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Mailing Address
ALISON NICOLE RIDER LMSW
1056 S 4TH AVE APT 4
POCATELLO, ID 83201-6666
Phone number: 208-251-4776
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