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1518328335
LAURISSA CORPUS
BOISE, ID
NPI
1518328335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LCSW-36586)
Enumeration Date
2016-03-08
Last Update Date
2025-01-02
Business Address
LAURISSA CORPUS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2721
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Mailing Address
LAURISSA CORPUS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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