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1912778895
CHARLENE ANNE HOLLOWAY
IDAHO FALLS, ID
NPI
1912778895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW44331)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
CHARLENE ANNE HOLLOWAY LMSW
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402-3405
Phone number: 208-552-0855
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Mailing Address
CHARLENE ANNE HOLLOWAY LMSW
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402-3405
Phone number: 208-552-0855
Copy
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