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1558530501
REX DELANE THORNLEY
IDAHO FALLS, ID
NPI
1558530501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-24942)
Enumeration Date
2008-02-25
Last Update Date
2008-02-25
Business Address
Mr. REX DELANE THORNLEY LCSW
605 N CAPITAL AVE
IDAHO FALLS, ID 83402-3582
Phone number: 208-529-1350
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Mailing Address
Mr. REX DELANE THORNLEY LCSW
2742 COUNTY CORK LN
IDAHO FALLS, ID 83404-8300
Phone number: 208-705-5071
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