ALLISON CLARK JOE

CHUBBUCK, ID
NPI1104174366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: ID  SE-202663)
Enumeration Date2012-08-20
Last Update Date2012-08-20
Business Address
-- ALLISON CLARK JOE
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-237-9833
Mailing Address
-- ALLISON CLARK JOE
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-237-9833
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