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1659600138
TRINA NICHOLSON
IDAHO FALLS, ID
NPI
1659600138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-34313)
Enumeration Date
2009-12-14
Last Update Date
2016-03-25
Business Address
-- TRINA NICHOLSON LMSW
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402-3653
Phone number: 208-582-5700
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Mailing Address
-- TRINA NICHOLSON LMSW
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402-3653
Phone number:
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