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1487136420
RYAN BRENT BECKSTEAD
IDAHO FALLS, ID
NPI
1487136420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-38023)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
RYAN BRENT BECKSTEAD LCSW
490 PARK AVE STE 4
IDAHO FALLS, ID 83402-1230
Phone number: 208-612-5035
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Mailing Address
RYAN BRENT BECKSTEAD LCSW
490 PARK AVE STE 4
IDAHO FALLS, ID 83402-1230
Phone number: 208-612-5035
Copy
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