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1922606383
ADETTA D UMPHENOUR
BONNERS FERRY, ID
NPI
1922606383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-39945)
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
ADETTA D UMPHENOUR LMSW
6615 COMANCHE STREET
BONNERS FERRY, ID 83805
Phone number: 208-267-1718
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Mailing Address
ADETTA D UMPHENOUR LMSW
6615 COMANCHE STREET
BONNERS FERRY, ID 83805
Phone number: 208-267-1718
Copy
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