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Organization

KID CONNECTIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SARAH LYNN RUSSELL LSW (SOCIAL WORKER/OWNER)
(208) 528-6051
Entity
Organization

Contact information

Practice address
4383 W 49TH S, IDAHO FALLS, ID 83402-5726
(208) 528-6051
Mailing address
4383 W 49TH S, IDAHO FALLS, ID 83402-5726
(208) 528-6051

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8073815
ID
Enumeration date
07/12/2007
Last updated
07/12/2007
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