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1194992545
SHASTA LEE HARDEE
IDAHO FALLS, ID
NPI
1194992545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-37764)
Enumeration Date
2008-05-14
Last Update Date
2018-06-07
Business Address
SHASTA LEE HARDEE LMSW-37764
2235 E 25TH ST
IDAHO FALLS, ID 83404
Phone number: 208-643-2832
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Mailing Address
SHASTA LEE HARDEE LMSW-37764
1080 BOWER DR
IDAHO FALLS, ID 83404-5151
Phone number: 208-680-6135
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