MANDY J LUIS

IDAHO FALLS, ID
NPI1811105042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW24674)
Enumeration Date2007-05-20
Last Update Date2007-07-08
Business Address
-- MANDY J LUIS LSW
550 2ND ST SUITE 292
IDAHO FALLS, ID 83401-3900
Phone number: 208-529-2211
Mailing Address
-- MANDY J LUIS LSW
550 2ND ST P.O.BOX 1876
IDAHO FALLS, ID 83401-3900
Phone number: 208-529-2211
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