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1144672635
SHANNON MOSKITIS
NAMPA, ID
NPI
1144672635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-40108)
Enumeration Date
2016-07-07
Last Update Date
2020-10-12
Business Address
SHANNON MOSKITIS
204 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 619-850-4871
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Mailing Address
SHANNON MOSKITIS
3215 W TARGEE ST
BOISE, ID 83705-3347
Phone number: 208-298-7787
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