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1104436062
ONTAYA ACEDO
POCATELLO, ID
NPI
1104436062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-39736)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
ONTAYA ACEDO LMSW
151 N 3RD AVE STE 330
POCATELLO, ID 83201-6369
Phone number: 208-242-3771
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Mailing Address
ONTAYA ACEDO LMSW
151 N 3RD AVE STE 330
POCATELLO, ID 83201-6369
Phone number:
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