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1104663475
JENNIFER FISH
MERIDIAN, ID
NPI
1104663475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LMSW-40359)
Enumeration Date
2024-07-12
Last Update Date
2024-07-31
Business Address
JENNIFER FISH
1533 W RAINBOW TROUT ST
MERIDIAN, ID 83642-1432
Phone number: 208-559-7654
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Mailing Address
JENNIFER FISH
1533 W RAINBOW TROUT ST
MERIDIAN, ID 83642-1432
Phone number:
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