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1164939914
CHANELLE RENEE FOLTZ
POCATELLO, ID
NPI
1164939914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-25809)
Enumeration Date
2018-01-02
Last Update Date
2018-01-02
Business Address
CHANELLE RENEE FOLTZ
459 S ARTHUR AVE
POCATELLO, ID 83204-3303
Phone number: 208-232-8840
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Mailing Address
CHANELLE RENEE FOLTZ
459 S ARTHUR AVE
POCATELLO, ID 83204-3303
Phone number: 208-232-8840
Copy
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