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1952054249
CHARLENE HERTZBERG
IDAHO FALLS, ID
NPI
1952054249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-41758)
Enumeration Date
2022-01-27
Last Update Date
2022-01-27
Business Address
CHARLENE HERTZBERG LMSW
1248 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-542-1026
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Mailing Address
CHARLENE HERTZBERG LMSW
1990 DEER VALLEY DR
IDAHO FALLS, ID 83401-6811
Phone number: 208-757-1665
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