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1780199828
KELLIE KING
MOUNTAIN HOME AFB, ID
NPI
1780199828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV IC-1164)
Enumeration Date
2017-12-12
Last Update Date
2023-07-12
Business Address
KELLIE KING CSW-Intern
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7580
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Mailing Address
KELLIE KING CSW-Intern
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7580
Copy
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