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1073060414
LORENE HARTJE-MAHAN
TWIN FALLS, ID
NPI
1073060414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- LORENE HARTJE-MAHAN MS
219 GOODING ST N
TWIN FALLS, ID 83301-6178
Phone number: 208-734-5230
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Mailing Address
-- LORENE HARTJE-MAHAN MS
219 GOODING ST N
TWIN FALLS, ID 83301-6178
Phone number: 208-734-5230
Copy
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