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1871642728
LAURA PARKS
IDAHO FALLS, ID
NPI
1871642728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-27649)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- LAURA PARKS LSW
586 1ST ST
IDAHO FALLS, ID 83401-3963
Phone number: 208-529-2920
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Mailing Address
-- LAURA PARKS LSW
340 MOONLITE DR APT 4
IDAHO FALLS, ID 83402-2343
Phone number: 208-403-6456
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