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1417634015
BREANNA GROSS
BOISE, ID
NPI
1417634015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-45283)
Enumeration Date
2023-07-05
Last Update Date
2024-08-22
Business Address
BREANNA GROSS LMSW
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
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Mailing Address
BREANNA GROSS LMSW
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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