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1699257634
STEPHANIE ROSS
GARDEN VALLEY, ID
NPI
1699257634
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Former Name
STEPHANIE WALTERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-30169)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
STEPHANIE ROSS
25 MIRACLE LANE
GARDEN VALLEY, ID 83622-8362
Phone number: 208-462-3074
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Mailing Address
STEPHANIE ROSS
PO BOX 450
GARDEN VALLEY, ID 83622-0450
Phone number: 208-462-3074
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