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1649660663
CHRISTOPHER BRAYTON
IDAHO FALLS, ID
NPI
1649660663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-32843)
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
-- CHRISTOPHER BRAYTON LCSW
1553 S LEE AVE
IDAHO FALLS, ID 83404-5936
Phone number: 208-351-5462
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Mailing Address
-- CHRISTOPHER BRAYTON LCSW
1553 S LEE AVE
IDAHO FALLS, ID 83404-5936
Phone number: 208-351-5462
Copy
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