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1346501061
MARY L TASHIRO
IDAHO FALLS, ID
NPI
1346501061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCSW-32597)
Enumeration Date
2012-05-30
Last Update Date
2013-09-30
Business Address
-- MARY L TASHIRO LCSW
2235 E 25TH ST
IDAHO FALLS, ID 83404-7519
Phone number: 208-522-9812
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Mailing Address
-- MARY L TASHIRO LCSW
PO BOX 3051
IDAHO FALLS, ID 83403-3051
Phone number: 208-522-9812
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