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1184059644
MOLLY RENEE TUCKER
LEWISTON, ID
NPI
1184059644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-26870)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
Mrs. MOLLY RENEE TUCKER L.S.W.
531 BRYDEN AVE
LEWISTON, ID 83501-4438
Phone number: 208-798-1646
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Mailing Address
Mrs. MOLLY RENEE TUCKER L.S.W.
531 BRYDEN AVE
LEWISTON, ID 83501-4438
Phone number: 208-798-1646
Copy
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