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1588111041
PENNY L DUNHAM
PAYETTE, ID
NPI
1588111041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 28740)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
Mrs. PENNY L DUNHAM LCSW
515 N 16TH ST
PAYETTE, ID 83661-2774
Phone number: 208-642-6416
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Mailing Address
Mrs. PENNY L DUNHAM LCSW
515 N 16TH ST
PAYETTE, ID 83661
Phone number: 208-642-6416
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