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1679844708
JODI LYN DAVIS
IDAHO FALLS, ID
NPI
1679844708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-31799)
Enumeration Date
2012-01-20
Last Update Date
2012-01-20
Business Address
Mrs. JODI LYN DAVIS LMSW
1273 E 17TH ST
IDAHO FALLS, ID 83404-6126
Phone number: 208-523-0787
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Mailing Address
Mrs. JODI LYN DAVIS LMSW
1273 E 17TH ST
IDAHO FALLS, ID 83404-6126
Phone number: 208-523-0787
Copy
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