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1427807627
TRACI L BIRDSELL
LEWISTON, ID
NPI
1427807627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-45152)
Enumeration Date
2024-05-18
Last Update Date
2024-05-18
Business Address
-- TRACI L BIRDSELL PhD
312 MILLER ST
LEWISTON, ID 83501-1944
Phone number: 208-750-1802
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Mailing Address
-- TRACI L BIRDSELL PhD
3415 7TH ST
LEWISTON, ID 83501-4903
Phone number:
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