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1053780882
SUSAN M HOLMES
IDAHO FALLS, ID
NPI
1053780882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC 2674)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
-- SUSAN M HOLMES LCPC
2235 E 25TH ST SUITE 290
IDAHO FALLS, ID 83404-7519
Phone number: 208-612-2272
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Mailing Address
-- SUSAN M HOLMES LCPC
2320 BELMONT AVE
IDAHO FALLS, ID 83404-6448
Phone number: 208-523-2344
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