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1720320328
CASSIE DAVIS
AMMON, ID
NPI
1720320328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LMSW-32584)
Enumeration Date
2013-03-21
Last Update Date
2013-03-21
Business Address
CASSIE DAVIS
3522 BRIAR CREEK LN
AMMON, ID 83406-4728
Phone number: 208-529-1660
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Mailing Address
CASSIE DAVIS
3522 BRIAR CREEK LN PO BOX 3858
AMMON, ID 83406-4728
Phone number: 208-529-1660
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