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1184011124
MALISA WILLIAMS
EAGLE, ID
NPI
1184011124
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Former Name
MALISA MORELAND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-38838)
Enumeration Date
2015-04-16
Last Update Date
2021-01-29
Business Address
MALISA WILLIAMS LCSW
1281 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-912-4011
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Mailing Address
MALISA WILLIAMS LCSW
5650 N DALSPRING AVE
BOISE, ID 83713-1315
Phone number: 208-912-4011
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