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1285279141
LILIA CHAVEZ
IDAHO FALLS, ID
NPI
1285279141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-38811)
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
LILIA CHAVEZ
2100 ALAN ST
IDAHO FALLS, ID 83404-5801
Phone number: 208-528-7655
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Mailing Address
LILIA CHAVEZ
2100 ALAN ST
IDAHO FALLS, ID 83404-5801
Phone number: 801-850-3019
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