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1306682901
JENNIFER PETTY LAYTON
CHUBBUCK, ID
NPI
1306682901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-24471)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
JENNIFER PETTY LAYTON LSW
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-244-2765
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Mailing Address
JENNIFER PETTY LAYTON LSW
9508 W CHARLOTTE DR
POCATELLO, ID 83204-7210
Phone number: 208-244-2765
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