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1497874523
MARIAH J. CANTU
POCATELLO, ID
NPI
1497874523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LSW-2632)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
MARIAH J. CANTU LSW
2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
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Mailing Address
MARIAH J. CANTU LSW
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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