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1740929132
MELISSA LEE RAYNE-MARTIN
IDAHO FALLS, ID
NPI
1740929132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-42198)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
Mrs. MELISSA LEE RAYNE-MARTIN LMSW
211 S WOODRUFF AVE
IDAHO FALLS, ID 83401-4324
Phone number: 208-524-4818
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Mailing Address
Mrs. MELISSA LEE RAYNE-MARTIN LMSW
1531 CLAIRE VIEW LN
IDAHO FALLS, ID 83402-2624
Phone number: 208-881-1699
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