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1184063059
BRENDEN MILLARD
LEWISTON, ID
NPI
1184063059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-33079)
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
Mr. BRENDEN MILLARD LMSW
1014 MAIN ST
LEWISTON, ID 83501-1842
Phone number: 208-743-8101
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Mailing Address
Mr. BRENDEN MILLARD LMSW
1014 MAIN ST
LEWISTON, ID 83501-1842
Phone number: 208-743-8101
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