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1154107910
BENJAMIN DAVID GERTHUNG
LEWISTON, ID
NPI
1154107910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 44093)
Enumeration Date
2023-09-06
Last Update Date
2023-09-06
Business Address
BENJAMIN DAVID GERTHUNG LMSW
531 BRYDEN AVE
LEWISTON, ID 83501-4438
Phone number: 208-798-1646
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Mailing Address
BENJAMIN DAVID GERTHUNG LMSW
531 BRYDEN AVE
LEWISTON, ID 83501-4438
Phone number: 208-717-1376
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