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1003097437
DEDRA CHRISTINE SANNA
POCATELLO, ID
NPI
1003097437
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Former Name
DEDRA CHRISTINE QUINN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC274)
Enumeration Date
2007-11-14
Last Update Date
2015-03-26
Business Address
Ms. DEDRA CHRISTINE SANNA LCPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
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Mailing Address
Ms. DEDRA CHRISTINE SANNA LCPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
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