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1043652571
CREED SIMON WEBSTER
REXBURG, ID
NPI
1043652571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC #3276)
Enumeration Date
2013-07-25
Last Update Date
2018-06-11
Business Address
CREED SIMON WEBSTER LCPC
30 S 2ND W
REXBURG, ID 83440
Phone number: 208-709-7248
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Mailing Address
CREED SIMON WEBSTER LCPC
30 S 2ND W
REXBURG, ID 83440
Phone number: 208-709-7248
Copy
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