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1144657966
ETHAN SMITH
IDAHO FALLS, ID
NPI
1144657966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-10-11
Last Update Date
2013-10-11
Business Address
-- ETHAN SMITH LMSW
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-524-5607
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Mailing Address
-- ETHAN SMITH LMSW
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number:
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