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1306435979
STEPHANIE N HOLMAN-WIGGS
BOISE, ID
NPI
1306435979
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Former Name
STEPHANIE N HOLMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-40306)
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
STEPHANIE N HOLMAN-WIGGS LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-7549
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Mailing Address
STEPHANIE N HOLMAN-WIGGS LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-7549
Copy
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