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1053773952
MICHELE JOANN OSMOND
POCATELLO, ID
NPI
1053773952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-3303)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
-- MICHELE JOANN OSMOND LCPC
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7917
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Mailing Address
-- MICHELE JOANN OSMOND LCPC
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7917
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