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1891365839
LAWREN LONG
EMMETT, ID
NPI
1891365839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-45402)
Enumeration Date
2021-07-01
Last Update Date
2024-10-18
Business Address
LAWREN LONG LCSW
912 E LOCUST ST
EMMETT, ID 83617-2709
Phone number: 208-703-8067
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Mailing Address
LAWREN LONG LCSW
912 E LOCUST ST
EMMETT, ID 83617-2709
Phone number: 208-703-8067
Copy
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