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1760512396
LETICIA J REYES
BLACKFOOT, ID
NPI
1760512396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW27346)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mrs. LETICIA J REYES LMSW
495 N SHILLING AVE
BLACKFOOT, ID 83221-2336
Phone number: 208-782-2050
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Mailing Address
Mrs. LETICIA J REYES LMSW
23 S 800 W
BLACKFOOT, ID 83221-6127
Phone number: 208-684-4744
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