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1073906012
CANDIS CAYE MOSS
IDAHO FALLS, ID
NPI
1073906012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-38242)
Enumeration Date
2015-03-16
Last Update Date
2019-07-17
Business Address
Mrs. CANDIS CAYE MOSS LCSW
2678 GALWAY CIR
IDAHO FALLS, ID 83404-7392
Phone number: 208-520-6655
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Mailing Address
Mrs. CANDIS CAYE MOSS LCSW
2678 GALWAY CIR
IDAHO FALLS, ID 83404-7392
Phone number: 208-520-6655
Copy
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