KELLY JOSEPHINE VICTORINE

MERIDIAN, ID
NPI1336443928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-30564)
Enumeration Date2010-12-22
Last Update Date2010-12-22
Business Address
Mrs. KELLY JOSEPHINE VICTORINE LMSW
1650 S TOPAZ WAY
MERIDIAN, ID 83642-4474
Phone number: 208-888-3151
Mailing Address
Mrs. KELLY JOSEPHINE VICTORINE LMSW
1650 S TOPAZ WAY
MERIDIAN, ID 83642-4474
Phone number: 208-888-3151
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