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1134220312
RAVAE MINTON
TWIN FALLS, ID
NPI
1134220312
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Former Name
RAVAE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW-24889)
Enumeration Date
2006-09-26
Last Update Date
2016-03-22
Business Address
RAVAE MINTON MSW, LCSW
1373 FILLMORE ST
TWIN FALLS, ID 83301-3392
Phone number: 208-737-9999
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Mailing Address
RAVAE MINTON MSW, LCSW
1373 FILLMORE ST
TWIN FALLS, ID 83301-3392
Phone number: 208-737-9999
Copy
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