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1932732906
TERI LEE WILSKE
POCATELLO, ID
NPI
1932732906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-27997)
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
TERI LEE WILSKE LSW
845 BARTON RD TRLR 35
POCATELLO, ID 83204-1827
Phone number: 208-240-8540
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Mailing Address
TERI LEE WILSKE LSW
845 BARTON RD TRLR 35
POCATELLO, ID 83204-1827
Phone number: 208-240-8540
Copy
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