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1396520987
KIMBERLY PORTER
IDAHO FALLS, ID
NPI
1396520987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-44057)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
KIMBERLY PORTER LMSW
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404-6159
Phone number: 208-932-7048
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Mailing Address
KIMBERLY PORTER LMSW
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404-6159
Phone number: 208-932-7048
Copy
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