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1982076410
WILLOW R KENYON
PLUMMER, ID
NPI
1982076410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW-37482)
Enumeration Date
2015-10-23
Last Update Date
2022-04-06
Business Address
WILLOW R KENYON LCSW
427 N 12TH ST
PLUMMER, ID 83851-0388
Phone number: 208-686-1931
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Mailing Address
WILLOW R KENYON LCSW
PO BOX 388
PLUMMER, ID 83851-0388
Phone number: 208-686-1931
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