RAYMOND JOSEPH PREVOST

PLUMMER, ID
NPI1831821768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-42383)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
Mr. RAYMOND JOSEPH PREVOST LMSW
427 12TH ST
PLUMMER, ID 83851-4000
Phone number: 208-686-1931
Mailing Address
Mr. RAYMOND JOSEPH PREVOST LMSW
5452 N STUART ST
COEUR D ALENE, ID 83815-9492
Phone number: 208-661-3054
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