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1003405085
STEPHANIE LYNN CALLEN
TWIN FALLS, ID
NPI
1003405085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID LSW-38944)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
STEPHANIE LYNN CALLEN LSW
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301-5853
Phone number: 208-736-5048
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Mailing Address
STEPHANIE LYNN CALLEN LSW
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301-5853
Phone number: 208-736-5048
Copy
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