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1780947630
LISEJEAN FREED
POST FALLS, ID
NPI
1780947630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-31783)
Enumeration Date
2012-06-15
Last Update Date
2012-06-15
Business Address
-- LISEJEAN FREED LCSW
1602 E SELTICE WAY
POST FALLS, ID 83854-7082
Phone number: 208-619-0190
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Mailing Address
-- LISEJEAN FREED LCSW
1602 E SELTICE WAY
POST FALLS, ID 83854-7082
Phone number: 208-619-0190
Copy
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