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1568014066
KAREN LARISSA GONZALEZ
POCATELLO, ID
NPI
1568014066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-36855)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
Ms. KAREN LARISSA GONZALEZ LMSW
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
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Mailing Address
Ms. KAREN LARISSA GONZALEZ LMSW
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
Copy
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