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1952962292
ZACHARY IVEY
TWIN FALLS, ID
NPI
1952962292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LMSW-38726)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
ZACHARY IVEY
459 LOCUST ST N STE 108
TWIN FALLS, ID 83301-7324
Phone number: 208-944-8489
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Mailing Address
ZACHARY IVEY
188 SOCCORRO DR
JEROME, ID 83338-4932
Phone number: 208-404-8373
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