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1215623731
ALEXANDRA EVELYN WILSON
EAGLE, ID
NPI
1215623731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 39725)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
ALEXANDRA EVELYN WILSON LMSW
136 S ACADEMY AVE
EAGLE, ID 83616-6541
Phone number: 208-254-1112
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Mailing Address
ALEXANDRA EVELYN WILSON LMSW
136 S ACADEMY AVE
EAGLE, ID 83616-6541
Phone number: 208-254-1112
Copy
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