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1972256899
ALISA STEPHANY BURLAKOV
POST FALLS, ID
NPI
1972256899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-41761)
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
ALISA STEPHANY BURLAKOV LMSW
704 E 4TH AVE
POST FALLS, ID 83854-7559
Phone number: 208-676-1075
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Mailing Address
ALISA STEPHANY BURLAKOV LMSW
18902 E 2ND AVE
SPOKANE VALLEY, WA 99016-8753
Phone number: 509-979-2371
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