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1164059069
TATEN LEE ALBRIGHT
IDAHO FALLS, ID
NPI
1164059069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-39331)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
TATEN LEE ALBRIGHT LMSW
615 HOOPES AVE
IDAHO FALLS, ID 83401-6106
Phone number: 208-542-0352
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Mailing Address
TATEN LEE ALBRIGHT LMSW
967 HOOPES AVE APT 201
IDAHO FALLS, ID 83404-4705
Phone number: 208-313-1842
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