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1073882619
LAURIE YATES
CHUBBUCK, ID
NPI
1073882619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LCPC-4610)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
-- LAURIE YATES LCPC
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-238-2120
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Mailing Address
-- LAURIE YATES LCPC
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-238-2120
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