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1730772179
REBECCA L RICHARDSON
PAYETTE, ID
NPI
1730772179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
REBECCA L RICHARDSON
250 S MAIN ST
PAYETTE, ID 83661-2853
Phone number: 208-405-0020
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Mailing Address
REBECCA L RICHARDSON
2211 SCHREINER LN
STAR, ID 83669-5168
Phone number: 208-994-8486
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