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1801335633
SHELLIE WATERMAN
CHUBBUCK, ID
NPI
1801335633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-35898)
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
Ms. SHELLIE WATERMAN LCSW
210 W BURNSIDE AVE SUITE A
CHUBBUCK, ID 83202-4916
Phone number: 208-238-9000
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Mailing Address
Ms. SHELLIE WATERMAN LCSW
210 W BURNSIDE AVE SUITE A
CHUBBUCK, ID 83202-4916
Phone number: 208-238-9000
Copy
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