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1750654109
LISA A MITTON
TWIN FALLS, ID
NPI
1750654109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 1346)
Enumeration Date
2012-02-15
Last Update Date
2012-02-15
Business Address
Ms. LISA A MITTON LCSW
414 SHOUP AVE W STE B
TWIN FALLS, ID 83301-5042
Phone number: 208-814-9100
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Mailing Address
Ms. LISA A MITTON LCSW
414 SHOUP AVE W STE B
TWIN FALLS, ID 83301-5042
Phone number: 208-814-9100
Copy
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