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1841539996
SHAYLENE PENINGER
IDAHO FALLS, ID
NPI
1841539996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW35524)
Enumeration Date
2013-02-10
Last Update Date
2016-05-04
Business Address
-- SHAYLENE PENINGER LMSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
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Mailing Address
-- SHAYLENE PENINGER LMSW
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
Copy
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