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1669712659
LETA A. STOREY
LEWISTON, ID
NPI
1669712659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW30956)
Enumeration Date
2013-02-27
Last Update Date
2013-06-12
Business Address
-- LETA A. STOREY LCSW
422 17TH ST
LEWISTON, ID 83501-2526
Phone number: 208-743-4680
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Mailing Address
-- LETA A. STOREY LCSW
422 17TH STREET PO BOX 2145
LEWISTON, ID 83501
Phone number: 208-743-4680
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