DAKOTA SIOUX GRENDE

MERIDIAN, ID
NPI1558936070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LMSW-40828)
Enumeration Date2021-05-26
Last Update Date2021-05-26
Business Address
DAKOTA SIOUX GRENDE LMSW
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642-2376
Phone number: 208-807-2877
Mailing Address
DAKOTA SIOUX GRENDE LMSW
3071 E FRANKLIN RD STE 201
MERIDIAN, ID 83642-2376
Phone number: 208-807-2877
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