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1164709911
ASHLEY RENEE JOHNSON
IDAHO FALLS, ID
NPI
1164709911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW31404)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- ASHLEY RENEE JOHNSON LMSW
2275 W BROADWAY ST STE C
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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Mailing Address
-- ASHLEY RENEE JOHNSON LMSW
2275 W BROADWAY ST STE C
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Copy
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