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1083265896
KAYLI OLIVIA HUMPHREYS
POCATELLO, ID
NPI
1083265896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR 12432-C)
Enumeration Date
2019-09-23
Last Update Date
2024-05-13
Business Address
KAYLI OLIVIA HUMPHREYS LCSW
620 W FREMONT ST
POCATELLO, ID 83204-3053
Phone number: 208-234-2244
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Mailing Address
KAYLI OLIVIA HUMPHREYS LCSW
2413 ARMSTRONG LN
PEA RIDGE, AR 72751-5013
Phone number: 208-406-0526
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