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1669299533
ASHLYN ALEXIS WILLARD
POCATELLO, ID
NPI
1669299533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-45409)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
ASHLYN ALEXIS WILLARD
1800 GARRETT WAY STE 47
POCATELLO, ID 83201-5132
Phone number: 208-595-6732
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Mailing Address
ASHLYN ALEXIS WILLARD
3970 STOCKMAN RD
POCATELLO, ID 83204-2004
Phone number: 208-220-9517
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