SHIRLENE M ELLEDGE

BOISE, ID
NPI1184057093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-33169)
Enumeration Date2013-08-14
Last Update Date2014-10-16
Business Address
-- SHIRLENE M ELLEDGE LMSW
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-571-9884
Mailing Address
-- SHIRLENE M ELLEDGE LMSW
4210 N EDWARDS ST
BOISE, ID 83703-4004
Phone number: 208-571-9884
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