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1568798106
TERESA K BELNAP-HAZEN
CHUBBUCK, ID
NPI
1568798106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-28387)
Enumeration Date
2009-11-01
Last Update Date
2009-11-01
Business Address
Ms. TERESA K BELNAP-HAZEN LCSW
445 W CHUBBUCK RD STE C
CHUBBUCK, ID 83202-5069
Phone number: 208-237-0385
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Mailing Address
Ms. TERESA K BELNAP-HAZEN LCSW
PO BOX 5518
CHUBBUCK, ID 83202-0004
Phone number: 208-237-0385
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