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1215631213
ZACHARY BROOKS
AMMON, ID
NPI
1215631213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-42546)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
ZACHARY BROOKS LMSW
1675 CURLEW DR
AMMON, ID 83406-4718
Phone number: 208-523-5319
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Mailing Address
ZACHARY BROOKS LMSW
PO BOX 2106
IDAHO FALLS, ID 83403-2106
Phone number: 208-523-5319
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