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1043869142
LETTIE STRADLEY-BASS
IDAHO FALLS, ID
NPI
1043869142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 7198)
Enumeration Date
2019-09-10
Last Update Date
2023-06-05
Business Address
LETTIE STRADLEY-BASS LCPC-8478
9915 N 26TH E
IDAHO FALLS, ID 83401-6435
Phone number: 208-521-8389
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Mailing Address
LETTIE STRADLEY-BASS LCPC-8478
9915 N 26TH E
IDAHO FALLS, ID 83401-6435
Phone number: 208-201-4510
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