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1497119804
SUSAN DORAN
BLACKFOOT, ID
NPI
1497119804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-518)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
Ms. SUSAN DORAN LSW
720 E. ALICE
BLACKFOOT, ID 83221
Phone number: 208-785-5898
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Mailing Address
Ms. SUSAN DORAN LSW
P. O. BOX 129
BLACKFOOT, ID 83221
Phone number: 208-785-5898
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