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1710657127
JESSICA HEGLUND
POCATELLO, ID
NPI
1710657127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: ID LMSW93004)
Enumeration Date
2021-09-16
Last Update Date
2021-09-16
Business Address
JESSICA HEGLUND LMSW
1001 N 7TH AVE # ATE135
POCATELLO, ID 83201-5761
Phone number: 208-232-7862
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Mailing Address
JESSICA HEGLUND LMSW
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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