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1851707632
MICKIE SANT
POCATELLO, ID
NPI
1851707632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-24749)
Enumeration Date
2014-07-01
Last Update Date
2014-07-01
Business Address
-- MICKIE SANT LSW-24749
209 E LEWIS ST
POCATELLO, ID 83201-6465
Phone number: 208-233-7693
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Mailing Address
-- MICKIE SANT LSW-24749
209 E LEWIS ST
POCATELLO, ID 83201-6465
Phone number:
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