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1063264778
PROACTIVE LIVING, LLC
POCATELLO, ID
NPI
1063264778
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Entity Type
Organization
Authorized Contact
STEVEN MCKEE
Owner
208-233-5433
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
PROACTIVE LIVING, LLC
2520 S 5TH AVE
POCATELLO, ID 83204-1923
Phone number: 208-233-5433
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Mailing Address
PROACTIVE LIVING, LLC
2520 S 5TH AVE
POCATELLO, ID 83204-1923
Phone number: 208-233-5433
Copy
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