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1730541608
ASHTON W HOLBROOK
BLACKFOOT, ID
NPI
1730541608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-44033)
Enumeration Date
2016-03-22
Last Update Date
2023-10-12
Business Address
Mr. ASHTON W HOLBROOK LCSW
167 N 710 W
BLACKFOOT, ID 83221-5380
Phone number: 208-417-9638
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Mailing Address
Mr. ASHTON W HOLBROOK LCSW
167 N 710 W
BLACKFOOT, ID 83221-5380
Phone number: 208-417-9638
Copy
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