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1710088984
DEBORAH LEWIS
POCATELLO, ID
NPI
1710088984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LMSW-26974)
Enumeration Date
2006-09-26
Last Update Date
2013-06-17
Business Address
-- DEBORAH LEWIS MSW, LMSW
1070 HILINE RD 210
POCATELLO, ID 83201-2947
Phone number: 208-478-9081
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Mailing Address
-- DEBORAH LEWIS MSW, LMSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
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