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1073654034
LYNDELL JACKSON
CALDWELL, ID
NPI
1073654034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC234)
Enumeration Date
2007-02-10
Last Update Date
2007-07-09
Business Address
Ms. LYNDELL JACKSON LCPC
2020 BLAINE ST
CALDWELL, ID 83605-4343
Phone number: 208-880-6127
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Mailing Address
Ms. LYNDELL JACKSON LCPC
2020 BLAINE ST
CALDWELL, ID 83605-4343
Phone number: 208-880-6127
Copy
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