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1659734143
ANGIE A. SHANTIE
LEWISTON, ID
NPI
1659734143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-30605)
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
Business Address
-- ANGIE A. SHANTIE LCSW
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
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Mailing Address
-- ANGIE A. SHANTIE LCSW
1118 F STREET
LEWISTON, ID 83501
Phone number: 208-799-4440
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