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1184057093
SHIRLENE M ELLEDGE
BOISE, ID
NPI
1184057093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-33169)
Enumeration Date
2013-08-14
Last Update Date
2014-10-16
Business Address
-- SHIRLENE M ELLEDGE LMSW
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-571-9884
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Mailing Address
-- SHIRLENE M ELLEDGE LMSW
4210 N EDWARDS ST
BOISE, ID 83703-4004
Phone number: 208-571-9884
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