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1194488908
BONA LISA WILLIAMS
BLACKFOOT, ID
NPI
1194488908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-34255)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
BONA LISA WILLIAMS LMSW
745 W BRIDGE ST
BLACKFOOT, ID 83221-2000
Phone number: 208-680-2143
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Mailing Address
BONA LISA WILLIAMS LMSW
210 W BURNSIDE AVE
CHUBBUCK, ID 83202-4916
Phone number: 208-238-9000
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