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1154903870
TAMMY SUE WALL
COEUR D ALENE, ID
NPI
1154903870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW34849)
Enumeration Date
2021-04-22
Last Update Date
2021-04-29
Business Address
TAMMY SUE WALL LMSW
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5311
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Mailing Address
TAMMY SUE WALL LMSW
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5311
Copy
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