Idaho
Division of Occupational and Professional Licenses
MAI PROVENCIO
Idaho Board Of Social Work Examiners - Licensed Master Social Worker
License number
LMSW - 30240
Date granted
01/21/2010
Date expires
10/06/2015
Class
Idaho Board Of Social Work Examiners - Licensed Master Social Worker
Status
Current
Address
BOISE ID 83719
idaholicensing.com
ID 19705747
LAST UPDATED 2024-04-05 02:23:22 UTC
LAST UPDATED 2024-04-05 02:23:22 UTC
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