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1770886103
JENNIFER CERVANTES SHUFFIELD
MOSCOW, ID
NPI
1770886103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID lcsw-28718)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
Mrs. JENNIFER CERVANTES SHUFFIELD lcsw
2606 GRANVILLE ST
MOSCOW, ID 83843-5002
Phone number: 208-874-2409
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Mailing Address
Mrs. JENNIFER CERVANTES SHUFFIELD lcsw
2606 GRANVILLE ST
MOSCOW, ID 83843-5002
Phone number: 208-874-2409
Copy
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