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1235344722
SHANNON MAUREEN GRAY
KUNA, ID
NPI
1235344722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-24699)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- SHANNON MAUREEN GRAY LMSW
190 W. MAIN ST.
KUNA, ID 83634
Phone number: 208-922-9001
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Mailing Address
-- SHANNON MAUREEN GRAY LMSW
1848 W STONE VALLEY DR
MERIDIAN, ID 83642-3578
Phone number: 208-288-1918
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