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1194044040
AMANDA NELSON
IDAHO FALLS, ID
NPI
1194044040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW29364)
Enumeration Date
2010-05-18
Last Update Date
2010-05-18
Business Address
-- AMANDA NELSON LMSW
2235 E 25TH ST SUITE 160
IDAHO FALLS, ID 83404-7519
Phone number: 208-522-9812
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Mailing Address
-- AMANDA NELSON LMSW
649 N 550 E
FIRTH, ID 83236-1123
Phone number: 208-681-5067
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