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1235798356
JAMIE POULSEN
TWIN FALLS, ID
NPI
1235798356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-42653)
Enumeration Date
2019-06-12
Last Update Date
2022-10-18
Business Address
JAMIE POULSEN LMSW
550 POLK ST STE A
TWIN FALLS, ID 83301-3916
Phone number: 208-814-9100
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Mailing Address
JAMIE POULSEN LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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