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1023622321
JESSICA MICHELLE WILSON-LUCERO
POCATELLO, ID
NPI
1023622321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
JESSICA MICHELLE WILSON-LUCERO ED.S, NCSP
395 1/2 WILLARD AVE
POCATELLO, ID 83201-4524
Phone number: 208-240-4063
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Mailing Address
JESSICA MICHELLE WILSON-LUCERO ED.S, NCSP
395 1/2 WILLARD AVE
POCATELLO, ID 83201-4524
Phone number:
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