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1265894687
SHAWNA FULTZ
TWIN FALLS, ID
NPI
1265894687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-34760)
Enumeration Date
2016-03-24
Last Update Date
2016-03-24
Business Address
SHAWNA FULTZ LMSW
1201 FALL AVE EAST SUITE C
TWIN FALLS, ID 83301
Phone number: 208-734-4250
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Mailing Address
SHAWNA FULTZ LMSW
1201 FALL AVE EAST SUITE C
TWIN FALLS, ID 83301
Phone number: 208-734-4250
Copy
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