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1184003923
BRENDA TAYLOR
IDAHO FALLS, ID
NPI
1184003923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LMSW-33104)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
-- BRENDA TAYLOR LMSW
2100 NIAGARA ST
IDAHO FALLS, ID 83404-8025
Phone number: 208-542-9919
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Mailing Address
-- BRENDA TAYLOR LMSW
2100 NIAGARA ST
IDAHO FALLS, ID 83404-8025
Phone number: 208-542-9919
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