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1811358195
SARA JEAN HIATT
IDAHO FALLS, ID
NPI
1811358195
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Other Name
SARA JEAN PICANCO-HIATT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-35545)
Enumeration Date
2016-03-14
Last Update Date
2016-03-14
Business Address
-- SARA JEAN HIATT LCSW
3355 S HOLMES AVE
IDAHO FALLS, ID 83404-7981
Phone number: 208-523-2080
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Mailing Address
-- SARA JEAN HIATT LCSW
960 SAFSTROM DR
IDAHO FALLS, ID 83401-4141
Phone number: 208-589-0936
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