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1275900888
AMANDA NIELSEN
CALDWELL, ID
NPI
1275900888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-30021)
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- AMANDA NIELSEN
1305 S KIMBALL AVE
CALDWELL, ID 83605-4542
Phone number: 208-459-1039
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Mailing Address
-- AMANDA NIELSEN
16297 MANATEE AVE
CALDWELL, ID 83607-5403
Phone number: 208-244-1938
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