IRIS JUNE MILLER GALLEGOS

EAGLE, ID
NPI1710428727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-34918)
Enumeration Date2017-03-10
Last Update Date2017-03-10
Business Address
-- IRIS JUNE MILLER GALLEGOS LCSW
1281 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-761-4748
Mailing Address
-- IRIS JUNE MILLER GALLEGOS LCSW
PO BOX 13
EAGLE, ID 83616-0013
Phone number: 208-761-4748
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