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1255782363
JOHN BRADY MADSON
TWIN FALLS, ID
NPI
1255782363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-39198)
Enumeration Date
2016-06-29
Last Update Date
2023-02-24
Business Address
Mr. JOHN BRADY MADSON LCSW; ACM-SW; C-SWHC
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-3682
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Mailing Address
Mr. JOHN BRADY MADSON LCSW; ACM-SW; C-SWHC
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-316-0900
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