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1972218626
SAMANTHA GREGSTON
REXBURG, ID
NPI
1972218626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-43038)
Enumeration Date
2023-01-17
Last Update Date
2023-10-09
Business Address
SAMANTHA GREGSTON LMSW
33 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-2057
Phone number: 208-243-9304
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Mailing Address
SAMANTHA GREGSTON LMSW
33 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-2057
Phone number: 208-243-9304
Copy
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