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1104571165
AKAILA MARTIN
FORT HALL, ID
NPI
1104571165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
AKAILA MARTIN MSW
29 N MISSION ROAD #240
FORT HALL, ID 83203
Phone number: 208-478-4026
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Mailing Address
AKAILA MARTIN MSW
PO BOX 306
FORT HALL, ID 83203-0306
Phone number: 208-478-4026
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