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1154752046
JOHN DENNIS
IDAHO FALLS, ID
NPI
1154752046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-26478)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
-- JOHN DENNIS LCSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
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Mailing Address
-- JOHN DENNIS LCSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
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