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1912656620
JEFFREY DAVIS
IDAHO FALLS, ID
NPI
1912656620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-41904)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
JEFFREY DAVIS LMSW
180 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4335
Phone number: 208-346-0688
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Mailing Address
JEFFREY DAVIS LMSW
180 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4335
Phone number: 208-346-0688
Copy
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