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1710428727
IRIS JUNE MILLER GALLEGOS
EAGLE, ID
NPI
1710428727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LMSW-34918)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
IRIS JUNE MILLER GALLEGOS LCSW
1281 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-761-4748
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Mailing Address
IRIS JUNE MILLER GALLEGOS LCSW
PO BOX 13
EAGLE, ID 83616-0013
Phone number: 208-761-4748
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