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1336533892
KENNETH BURNHAM
TWIN FALLS, ID
NPI
1336533892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW29780)
Enumeration Date
2015-03-23
Last Update Date
2015-03-23
Business Address
-- KENNETH BURNHAM LMSW
1373 FILLMORE ST
TWIN FALLS, ID 83301-3392
Phone number: 208-737-9999
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Mailing Address
-- KENNETH BURNHAM LMSW
1373 FILLMORE ST
TWIN FALLS, ID 83301-3392
Phone number: 208-737-9999
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