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1144591934
EMILY RICKS SMITH
IDAHO FALLS, ID
NPI
1144591934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW34678)
Enumeration Date
2012-01-25
Last Update Date
2019-01-15
Business Address
Miss EMILY RICKS SMITH LCSW-34678
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-529-1660
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Mailing Address
Miss EMILY RICKS SMITH LCSW-34678
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
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