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1235523457
ROBERT SIDDOWAY
IDAHO FALLS, ID
NPI
1235523457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-34243)
Enumeration Date
2015-03-25
Last Update Date
2024-04-24
Business Address
Mr. ROBERT SIDDOWAY LCSW
254 E ST SUITE B
IDAHO FALLS, ID 83402-3527
Phone number: 208-339-0816
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Mailing Address
Mr. ROBERT SIDDOWAY LCSW
254 E ST SUITE B
IDAHO FALLS, ID 83402-3527
Phone number: 208-529-1854
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