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1154155463
LEAH IRENE JACKSON
BOISE, ID
NPI
1154155463
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Former Name
LEAH IRENE BUHL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-45253)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
LEAH IRENE JACKSON LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-3044
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Mailing Address
LEAH IRENE JACKSON LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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