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1336443928
KELLY JOSEPHINE VICTORINE
MERIDIAN, ID
NPI
1336443928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-30564)
Enumeration Date
2010-12-22
Last Update Date
2010-12-22
Business Address
Mrs. KELLY JOSEPHINE VICTORINE LMSW
1650 S TOPAZ WAY
MERIDIAN, ID 83642-4474
Phone number: 208-888-3151
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Mailing Address
Mrs. KELLY JOSEPHINE VICTORINE LMSW
1650 S TOPAZ WAY
MERIDIAN, ID 83642-4474
Phone number: 208-888-3151
Copy
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