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1205017365
DEBBIE SMITH
AMMON, ID
NPI
1205017365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCSW-30062)
Enumeration Date
2007-11-16
Last Update Date
2018-03-29
Business Address
Mrs. DEBBIE SMITH LCSW
2910 WESTERN AVE
AMMON, ID 83406-7633
Phone number: 208-313-1803
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Mailing Address
Mrs. DEBBIE SMITH LCSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-313-1803
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