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1932711165
SAMANTHA PAIGE AVERETT
BLACKFOOT, ID
NPI
1932711165
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Other Name
SAMANTHA PAIGE AVERETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
SAMANTHA PAIGE AVERETT LMSW
60 N BROADWAY
BLACKFOOT, ID 83221
Phone number: 208-782-3434
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Mailing Address
SAMANTHA PAIGE AVERETT LMSW
PO BOX 1472
BLACKFOOT, ID 83221
Phone number: 208-782-3434
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