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1083017578
JENNIFER MARIE MILES
POCATELLO, ID
NPI
1083017578
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Former Name
JENNIFER MARIE PARKHOUSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-35341)
Enumeration Date
2014-09-29
Last Update Date
2022-07-21
Business Address
JENNIFER MARIE MILES LCSW
1368 EL RANCHO BLVD
POCATELLO, ID 83201-2808
Phone number: 208-339-6565
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Mailing Address
JENNIFER MARIE MILES LCSW
1368 EL RANCHO
POCATELLO, ID 83201-2803
Phone number: 208-339-6565
Copy
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