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1134583362
ELIZABETH TAYLOR
MOUNTAIN HOME, ID
NPI
1134583362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-5572)
Enumeration Date
2016-04-13
Last Update Date
2016-04-13
Business Address
ELIZABETH TAYLOR LPC
140 E 2ND N
MOUNTAIN HOME, ID 83647-2711
Phone number: 208-587-8095
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Mailing Address
ELIZABETH TAYLOR LPC
140 E 2ND N
MOUNTAIN HOME, ID 83647-2711
Phone number: 208-587-8095
Copy
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