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1922828631
PEYTON MALLORY GREEN
CHUBBUCK, ID
NPI
1922828631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 1761571)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
PEYTON MALLORY GREEN LMSW
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number: 208-906-9823
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Mailing Address
PEYTON MALLORY GREEN LMSW
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number: 208-906-9823
Copy
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