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1043904212
STEPHANIE LEE LEFAVOUR
MIDDLETON, ID
NPI
1043904212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID COUI-9617)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
STEPHANIE LEE LEFAVOUR COUI
22480 DUFF LN
MIDDLETON, ID 83644-6041
Phone number: 208-965-4502
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Mailing Address
STEPHANIE LEE LEFAVOUR COUI
22480 DUFF LN
MIDDLETON, ID 83644-6041
Phone number: 208-965-4502
Copy
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