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1235678848
JENNA NICOLE THOMPSON
POCATELLO, ID
NPI
1235678848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW-38005)
Enumeration Date
2017-02-15
Last Update Date
2018-09-12
Business Address
MRS. JENNA NICOLE THOMPSON LCSW
500 S 11TH AVE SUITE 303
POCATELLO, ID 83201-4835
Phone number: 208-239-3815
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Mailing Address
MRS. JENNA NICOLE THOMPSON LCSW
500 S 11TH AVE SUITE 303
POCATELLO, ID 83201-4835
Phone number: 208-239-3815
Copy
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