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1154731529
SHANNA CLAYSON
BLACKFOOT, ID
NPI
1154731529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-29104)
Enumeration Date
2014-05-06
Last Update Date
2014-05-06
Business Address
-- SHANNA CLAYSON LSW
150 S BROADWAY ST
BLACKFOOT, ID 83221-2711
Phone number: 208-785-1326
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Mailing Address
-- SHANNA CLAYSON LSW
150 S BROADWAY ST
BLACKFOOT, ID 83221-2711
Phone number: 208-785-1326
Copy
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